RESERVATION FORM

 

Name
Street Address
Address (cont)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
Work Phone
E-Mail

   OCEAN FRONT SPA  2 BEDROOM        VILLA 311

   Enter the dates of the week you are reserving- -Saturday to Saturday... :
 mm/dd/yy to mm/dd/yy

________________________

Enter the weekly rate in the space provided below.

_______________________

A deposit of 1/3 of the rental fee is due when the reservation is  made. This will secure your reservation.
A confirmation copy will be sent to you confirming the reservation and will advise you of future payments and when they are due.

The deposit must be received within 5 business days of receipt of the reservation form to hold the week that you want.

You can  PRINT this  form , fill it out,  then  FAX the reservation form to 412-487-2704.   The deposit must be received within 5 business days of receipt of the reservation form to hold the week that you want.

SIGNATURE: _______________________________

PLEASE SEND CHECK OR MONEY ORDER TO:

Credit Cards are not accepted.

SANDY WELCH
704 MICA DRIVE
ALLISON PARK, PA 15101
412-487-2704  (Home)
412-418-2256 or 412-889-6057 (Cell)
412-487-2704  (Fax)

EMAIL:  oceanmtnrentals@att.net

 

                                  

 

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