The Natural Place Reservation Request

Please Print this form in order to Mail the information.
Guest Name:___________________________________________________________

Number of People:___________

Street Address:__________________________________

City: ___________________________ State:_____ Zip or Postal Code:_________

Home Phone:___________________________ Fax:__________________________

Drivers License No._______________________________ State:________

Referred by:_____________________________________

Arrival Date:__________________ Time:______________ Checkout Date:_______________

Special Needs/Request:___________________________________________________

___________________________________________________________________

Room Type_______________________ Please mail your check and make it payable to :
The Natural Place
Main Office
1917 NE 5th Street
Deerfield Beach, FL 33441

Rate ______________
Duration X_____________
Sub Total =_____________
Hotel/Sales Tax (11%) +_____________
Security Deposit +_____________
Cleaning Fee (If necessary) +_____________
Total Due ______________
Notes
1. Rate quoted is valid only for the stated duration and is subject to change for any stay beyond the stated departure date.
2.Occupancy at the Natural Place is a "transient occupancy" under
Florida law. Security deposits, less the cost of any damages and unpaid incidentals, will be refunded within 45 days after departure.
3. Payment in full must be received within three days of placing your reservation. We recommend overnight mail service to insure immediate confirmation of reservation.
4. In the event of cancellation prior to check-in, reservation payment is not refundable.
5. You are responsible for any unit rendered unusable by you or your guest's use of objectionable products more fully described in our Quality Assurance agreement.
6. Apartments are located at 1962 NE 5th Street Deerfield Beach, FL 33441.
Please go directly to apartments for check-in.

The undersigned guest acknowledges the terms above, has read the
additional terms, Quality Assurance Agreement of The Natural Place,
agrees to abide by same and agrees that his/her guests shall be bound by same.

This reservation is not valid unless signed below and returned with payment

________________________
Signature
________________________
Date


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