I would like to (choose one):  Request further information    
                                    Make a reservation request
    Mr  Mrs  Miss  Ms 
     Last Name             
     First Name            

     Postal Address        
                           
     Town & State/Province  
     Country               
     Postal Code           

     IMPORTANT -- PLEASE INCLUDE ALL CONTACT DETAILS BELOW     
     Telephone (home)      
     Telephone (business)  
     Fax                   
     E-Mail address        
     PLEASE BE SURE TO ENTER YOUR E-MAIL ADDRESS ABOVE,
     OTHERWISE WE CANNOT SEND YOU E-MAIL BY RETURN

     I am interested in staying during the following time period:
        Arrival Date       
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Month?
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Year?
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        Departure Date     
Day?
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Month?
January
February
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Year?
2010
2011
2012


     Accommodation type: How many units do you require?

        Apartments (1 bedroom)  
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 1
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 3
 3 available
        Townhouses (2 bedroom)  
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 9 available

     How many persons in your party?  
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 1
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 9


    

     Special requests or other comments/information:
     



Please tick one of the boxes below:
           
 I will provide Credit Card details NOW (using SECURE SERVER)

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 I will provide Credit Card details LATER (upon confirmation of availability OR by phone/fax)