Reservation Request Information
 

 Copy and paste this form into an email or supply the requested information and email it to me. r_coke@charter.net

 I will email you a rental agreement and complete instructions Thank You.


        Name:   

        Street address:                                

        City: State: Zip:         

         Email   xxx@xxxx    

        Please confirm your email  xxxx@xxxx     


        Number in your Group :           and approximate ages:    

 
        Phone #'s - Please include area code

        (Work)                                        (Home)  

        Best time to call (PST)
 

        Arrival date: dd/mm                                                   Departure Date: dd/mm   

        Are your dates flexible?        

        Length of stay:  X nights            

       A $200 reservation deposit which is applied towards your rent is required with a Major Credit Card (phone or fax only)  VISA, MC, AMEX.

        Comments

        Enter any information which should be included in our rental agreement such as a phone conversation with me.

        How did you find our web site ?                                           Search Engine, Travel Site (name), Friend (email address for Thank You) ?