Floridian Villa Booking Form


*(denotes required field)
First Name*/Surname*:
Address Line 1*:
Address Line 2:
Address Line 3:
Town / City*:
County / State*:
Postcode / Zip Code*:
Country*
Telephone Day*/ Eve:
Fax:  
E-mail*:
Arrive*: Depart*:
Other People in Your party
(under 21's ages must be given as required by Florida State Law)
Titles Full Names       
 
 
  NIGHTS RENTAL @ LOW/MID/PEAK
     
TOTAL
     
LESS REMITTANCE, DEPOSIT @ 20% OF TOTAL

()
BALANCE PAYABLE 56 DAYS PRIOR TO ARRIVAL

 

I would like to pay by*:

I HAVE READ AND AGREE TO ABIDE BY THE BOOKING TERMS & CONDITIONS*
 
If you need to print this form just use your computer's 'print' function once filled in