Online Hotel Reservation Form
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*  
Room Rates
Single (Deluxe Ocean View)  
  Rate $239.00  
Double or Queen (Deluxe Ocean View):  
  Rate $259.00  
Suite - King (Deluxe Ocean View):  
  Rate $315.00  
Single (Garden/Golf/Mountain View):  
  Rate $199.00  
Double or Queen (Garden/Golf/Mountain):  
  Rate $219.00  
Suite - King(Garden/Golf/Mountain View):  
  Rate $275.00  
Additional Person:  
  Rate $25.00  
Grand Total:  
 
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.
City:*  
State:  
Province:  
Country:*  
Zip Code:*  
Phone:  
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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