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Please Print this form in order to Mail the information. |
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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 :
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| Rate | ______________ | ||
| Duration | X_____________ | ||
| Sub Total | =_____________ | ||
| Hotel/Sales Tax (13%) | +_____________ | ||
| Security Deposit | +_____________ | ||
| Cleaning Fee (If necessary) | +_____________ | ||
| Total Due | ______________ | ||
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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. |
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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
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________________________ Signature |
________________________ Date |