reservation enquiry form Palms Place



RESERVATION ENQUIRY FORM

first name		last name
email		phone		cell



my reservation for Palms Place		arrival date		departure date
	check-in time from 4pm / check-out 11am - no arrivals/departures on Saturdays

	I have checked the online availability calendar - Red in the avaialbility calendar stands for "night unavailable", which means you can actually depart on the morning of the first red marked day.
	I have read and accepted the general terms and conditions.
	number of persons travelling (the maximum occupancy for Palms Place is two)

rates			weekly rate $1,600 (subject to tax)		single nights $250 if available plus one-time $80 cleaning fee (subject to tax) please inquire




Credit card details are required to confirm a reservation.

credit card	type		card number	card expiration date (MM/YY)		3 or 4 digit CVV number What's this?


	street		city		state	ZIP

	You can also fax your credit card details. Our fax number is (815) 572 0806.

deposit	Check this box, if you like to mail a deposit instead. We will then provide you with the mailing address.
	This is no pre-payment. Your rent payment is expected in cash or check upon check-in.

additional information	Before submitting your question, please make sure to check our information page.