Booking Form - United States

 

Title: Choose Option Mr. Mrs. Ms.

 

First Name:

 

Last Name:

 

Full Address:

 

Phone Number:

 

Cell Phone:

 

Email:

 

Fax:

 

How would you like to be contacted: Choose Option Home Phone Cell Phone Email

 

Arrival Date:

 

Departure Date:

 

Number of adults in party:

 

Number of children in party:

 

Welcome Pack:

Not Required
Yes Required (Groceries) at $30
Yes Required (with wine) at $50

 

Cots/Highchair

Not Required
Yes Required at $35 per week

 

BBQ

Not Required
Yes required at $40 per week

 

Pool & Spa

Not Required
Pool & Spa heating required $200 per week

 

Additional Requirements:

 

NON-REFUNDABLE DEPOSIT OF $250.00 TO BE SUBMITTED UPON APPROVAL OF SELECTED DATE. THE BALANCE BECOMES PAYABLE 8 WEEKS PRIOR TO THE SELECTED DEPARTURE DATE. $350.00 REFUNDABLE DEPOSIT WITH BALANCE (returned if no damage or breakages). SUBMIT BOOKING FORM ONLINE. ALL DEPOSITS TO BE MAILED TO: Mr. Anthony Stefanski (email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Telephone: 610.258.9663 Fax: 610.515.0271

 

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