Gala Villa Booking Form

 

Property details: Indian Creek, Kissimmee

Please give name and address of party leader, this person is responsible for all members of the party.

Name: ___________________________________________________________________________________

 

Address: _________________________________________________________________________________

 

_________________________________________________________________________________________

 

Home Telephone: _____________________      Mobile Telephone: _________________________   

 

Arrival date: _________________________       Departure date: _________________________   

 

Number in party, adults: _________________________    Children: _________________________   

OTHER MEMBERS OF VISITING PARTY (This is a requirement under Florida State Law)

Name                                     Age                         Name                                    Age

1.............................................             8 ............................................

2.............................................             9............................................

3.............................................             1 0...........................................

4..........................................….           1 1...........................................

5...........................................…..         1 2...........................................

6 ............................................             1 3...........................................

7 ............................................             1 4...........................................

 

Rental rate agreed: ______________________    Pool heat required: ________________________________

Special requests:

 

Welcome Pack $35

Yes/No

BBQ Gaz Grille Rental including free gas:

 - $50 per week

 - $60 for 2 weeks

 

Yes/No

Wheelchair $50/week

Yes/No

Credit Card Hold for the $500 refundable security deposit

Yes/No

_________________________________________________________________________________________

_________________________________________________________________________________________

 

Please note that this is self catering accommodation. Only a limited amount of hand soap and tissue paper are supplied although a starter kit is available for a small fee. Please see the terms and conditions for more details. Please mention the starter kits under special requests if any are needed. A refundable security deposit of USD $500 is required, this must be paid along with the final balance.

 

I have read the terms and conditions of the rental agreement and I confirm that my signature on this booking form constitutes acceptance of the terms and conditions by me and all the members of my party. I am over 21 years of age.

 

I enclose a check for or have made other arrangements of paying*  ______________ as a deposit/full payment* for the rental period.

 

Signature._______________________________________  Print._____________________________________

 

*circle as applicable

 

State payment method if not check _______________________________________