Rental Form For Unique Beach Houses
Please complete the rental form below and submit to rent this house.   Once you have finished the form below, you will return
to the Rental page to complete your reservation by sending your deposit as instructed. 
Thank you and we will see you soon!


This is your agreement  to rent the house following the rental policies.
Choose the name of the house below, then fill in your information, and click SUBMIT at the bottom. 
You should get a confirmation of this form this evening or in the morning.

Choose one of the following houses:


Enter the date of arrival :


Enter the date of departure :


How many nights ?


Enter the time of arrival such as 3-4 pm :


How many adults ?


How many kids over the age of 2 ?


How many people total will use this house (excluding 2 year old and under) ?


How many pets (please describe) ?


Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
 
Home Phone
E-mail:  please type twice

Enter your full name in the space provided below to indicate you have read and agree to the rental guidelines listed on the Central Reservation page and made a part of this reservation.


I will be mailing my reservation deposit right out (required to hold the house)

Yes No
Rental rates for houses are listed on the house page online, these are the rates that apply.

NOTE:  YOU WILL RECEIVE A CONFIRMATION OF THIS FORM THIS EVENING, PLEASE CHECK DATES.


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Copyright © 2003 [Wild Coast Vacations LLC]. All rights reserved.
Revised: 07/11/08