Reservation Form

Reservation for The Scarpa #234

IMPORTANT:

1.Before you reserve, please Call or email to us for available date

2. Deposit of $250 is REQUIRED to  reserve your vacation home

The owner will send confirmation and reservation number by e-mail after receiving your form and deposit

Reservation information will be sent via e-mail. If you do not have e-mail, it can be sent via FAX or regular mail.

Please call in your credit card information. DO NOT SEND CREDIT CARD INFORMATION BY REGULAR E-MAIL.

Call in your deposit information to: (973) 476-7159. FAX: (973) 942-7404.

If you have any questions, please call us at: (973)476-7159, ask for Clay.

  This Form Is For Reservation The Scarpa #234 Only

I would like Reserve my vacation home:

The Scarpa #234 --7 bedrooms/16 Max

Contact Information:  

* IS REQUESTED

*Home Name:    

*Today's Date:     mm/dd/yy

*First Name:        *Last Name:

*Address 1:            

 Address 2:      

*City:                

*State, Zip:        

*Telephone #1:   Telephone # 2:

*Fax:             

*E-mail:         

Accommodation Information:         *Payment Method: 

*Number of guests in party:  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16                    Check             

      *Adults     # :      1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16                            Money Order     

      *Children # :      0 1 2 3 4 5 6 7 8 9 10                            Credit Card **   

** Call in your credit card information. (Do not send by e-mail)

*Arrival Date:        Month:  1 2 3 4 5 6 7 8 9 10 11 12   Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    Year: 2003 2004 2005 2006 2007 2008

*Departure Date:    Month:   1 2 3 4 5 6 7 8 9 10 11 12    Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    Year: 2003 2004 2005 2006 2007 2008

*Number of Nights:           1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Check-in time:     4:00pm      

Check-out time: 10:00am

Other information:

*Cleaning Requested:                       Yes      No 

*Pool Heat Requested:                      Yes      No 

*Reviewed All Terms On This Home:     Yes      No 

To mail in your agreement form or deposit:

Please call in your request as soon as possible to hold your vacation home.

Call:  (973)476-7159 ask for Clay before you mail in your form and deposit,

If you have reviewed all the fields above, please click on the "I Accept This Agreement, and Submit" Button.

Please print out this form and mail it with your deposit.

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