Printable Signature Form

Note that with your reservation, you have agreed to the Rental Policy & Company Policies of Wild Coast Vacations LLC.

We look forward to hosting you on the Wild Coast!

Signature Form

Print this page, sign it below and mail it with your deposit check
or, if you have paid by credit/debit card you can also email it to WCV

Your Name: _________________________________________________________
Phone Number: _______________________
Email Address: _______________________________________

Date of Arrival: _______________________
Name of Accommodation: _________________________________________________________

A 45% non-refundable rental deposit is required to rent your house. ($200 min) by credit card, check or money order.

Total approximate amount of rent: $___________
Reservation Deposit (45% rounded off): $___________ ($200 min)
Make your check payable to Wild Coast Vacations LLC.

  • I understand the reservation is non-refundable and I have read the POLICY PAGE, which is made a part of this reservation.
  • I understand that my credit card with ID is required at checkin for any balance and for security deposit.
  • I understand rental of this home is subject to the Policy of this company.

Please read about checkin arrangements on the POLICY PAGE page as we have set up an arrival schedule for you. Please do not rent a house until you are sure of your choice.

There are no refunds possible, and I acknowledge this.

Signed ___________________________________________________
Dated _________________

Please mail this completed form with your payment to:
Wild Coast Vacations LLC
P.O. Box 312
Gold Beach, OR 97444

We will hold your reservation for 5 days while waiting for your check to arrive with this signature form, if you have answered our confirmation email. When it does, we will send you an email, to the address you listed above, with your final confirmation when we receive this signature form and payment. If we do not receive your check by the 5th day, the house is placed back on the market as available. Please see our Reservation Policy for full details.

One week before arrival you will pay any balance by credit card, and the required security/damage/cleaning deposit which is fully and promptly refunded within 10 working days if you leave the property as you found it and have followed our policy. Your rental must be paid in full prior to arrival

Changes can be requested up until 48 hours prior to arrival and we will try to accommodate, dates may not be able to be changed. Fee applies.

Please send an email one week prior to your arrival to confirm your plans
3 – 8pm Monday through Saturday during Season.
2 – 6:30 pm Monday through Friday during off Seasons.
See late arrivals for arrival at any other time, you can prepay everything (including security deposit) in advance for an ANYTIME arrival.