Pure Sun Villa Orlando
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Booking Form - Janet
First Name:
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Last Name:
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Street Address:
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Address Line 2:
City:
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State:
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--U.S. Territories--
American Samoa
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Zip Code:
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Telephone Number:
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E-mail Address:
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Arrival Date:
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Departure Date:
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Number of Nights:
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Pool Heat Required?
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Please list names and ages of all persons who will be staying in the villa.
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Rental Rate:
Cleaning Fee:
Pool Heat:
TOTAL:
Deposit:
Balance Due:
Balance Due Date:
Placing a check in the following boxes indicates that you agree with the statements.
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I certify that I am 21 years of age or older.
I agree to pay the full balance on or before the due date.
I have read and understand the Booking Terms and Conditions contract and understand that a breach of contract may result in the loss of my security deposit.
This check serves as my electronic signature for the Booking Form and Terms and Conditions contract.
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Required