Traveler Information

Mr/Ms *

Given Name *

Surname *

Date of Birth * +

Mr/Ms

Given Name

Surname

Date of Birth +

Mr/Ms

Given Name

Surname

Date of Birth +

Mr/Ms

Given Name

Surname

Date of Birth +

Mr/Ms

Given Name

Surname

Date of Birth +

If sharing a room with any other guests not listed above, please provide their names below:

Billing Address *

City *

State/Province *

Zip Code *

Email Address *

Phone Number *

Check In Date * +

Check Out Date * +

Departure Airport *

Rooms come with a king or 2 double beds. Please let us know your preference.

Bedding Requests will be added to your personal file. Please keep in mind that they are subject to availability and not guaranteed.

Room Category *

Notes

Payment Information and Credit Card Authorization

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

Payment Amount *

This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. A written notice of rejection or cancellation of these arrangements must be received in writing within the time limits stated in the Terms & Conditions. If not received, no charge-backs or cancellation will then be accepted. Your signature on this charge confirmation form is an acknowledgement that you have received and read the Terms & Conditions and that you understand the Cancellation Policy, I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. I am aware that deposit payments are 100% non refundable and agree not to dispute or attempt to charge back any of the above signed for and acknowledged charges. *

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