PLEASE PRINT FOR YOUR RECORDS BEFORE CLICKING SUBMIT
Booking Form
We wish to rent per the following details.
You may pay deposit by credit or debit card after hitting submit below
Arrival Date:
Depart on:
Name:
Address:
City:
State/Cntry:
Zip/Post:
Phone days:
Phone eves:
Fax:
E-mail:
Questions/
Notes:
No. in party, Adults:
No. in party, children:
Expected arrival time:
Rent (see below)*:
*Rent can be paid by check, money order, VISA, or Mastercard.
Rental charge includes electricity, water landscaping, incoming and local telephone calls, all linens and towels, cable TV. We work with the Management Company, and take pride in the cleanliness of our homes. .
Electronically sign here after understanding above:
Sign:
Date:
Booking is complete when owner verifies the above information with you.
Thank you Monica and Michael Ouellette
6067 Ostrander Road
PO Box 755
Guilderland, NY 12084
http://www.AFloridahouse.com/CocoaHome.html
Call Toll Free: (888) 428-8323
Mike's cell: 321-750-8657
Mike's Office Fax (Identify Mike O.) 321-784-2100
Please Print for you records. Then click submit. Return to homepage to Pay.
