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Hotel Reservation Form Shopping Cart
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
Room Rates
Single (Deluxe Ocean View)
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Double or Queen (Deluxe Ocean View):
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Suite - King (Deluxe Ocean View):
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Single (Garden/Golf/Mountain View):
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Double or Queen (Garden/Golf/Mountain):
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Suite - King(Garden/Golf/Mountain View):
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Additional Person:
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*Date of Arrival:
*Date of Departure:mm/dd/yyyy
Billing Information
*First Name:Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:Where your statement is mailed
Address Line 2:Apt. or Suite No.
*Zip Code:
Credit/Debit Card Information
*Card Number:No dashes or spaces please
*Expiration Month:From your card
*Expiration Year:From your card
*Card Brand:
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