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Street Address:

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Month January February March April May June July August September October November December    Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31     Year 2008 2009  

  How Long would you like to stay? 1 Night 2 Nights 3 Nights 4 Nights 5 Nights 6 Nights 7 Nights

How Many In your Party? 1 Person 2 People 3 People 4 People

CREDIT CARD INFORMATION

$50.00 Deposit or Full Payment
 

Choose One:       VISA         MasterCard

Amount: Choose your Price Deposit - $50.00 One Night - $125.00 - up to 2 people One Night - $140.00 - up to 3 people One Night - $155.00 - up to 4 people Two Nights - $250.00 - up to 2 people Two Nights - $265.00 - up to 3 people Two Nights - $280.00 - up to 4 people

Credit Card Number:     

Credit Card Expiration Date:  Month January February March April May June July August September October November December   Year 2008 2009 2010 2011 2012

3 Digit Security Code from Back of Card:  

Type in your initials here....this will serve as your signature:

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