Orlando, Florida Vacation Home Rental, Home Away From Home

Name: ______________________________________________________________________

Address: ______________________________________________________________________

______________________________________________________________________

Phone #: (H) ______________________________(W)__________________________

Arrival Date: _________________ Depart Date (by 11:00 am) ___________________

No. of Adults: _______________ No. of Children (under 18): _________________

Weekly Rental Rate:	$___________
(Additional days __________@ $___________ per day	$___________

Daily Rental Rate: (3 day minimum) $________	$___________
(Plus departure cleaning of $50.00)	$50.00_____

Additional Services:

Mid-week cleaning @ $50.00	$___________
Pool heating @ $105.00 per week	$___________
@ $ 15.00 per additional day	$___________
@ $ 75.00 minimum charge	$___________
Other:	$___________


Total reservation amount	$___________
Plus 10% Florida Lodging Tax	$___________

Total	$___________
Plus reservation/security-damage deposit	$ 300.00*____

TOTAL DUE:	$___________
- Total amount deposited (Date: )	$___________

Balance Due: (30 Days prior to arrival date)	$___________

(Please make checks payable to "Tim Hagan-Building Acct." and mail to 5406 Twin Lake Terrace, Crystal, MN 55429).

* (The $300.00 reservation/security-damage deposit is the minimum amount required to hold your reservation dates for you when your booking is made more than 30 days in advance).