PLEASE PRINT FOR YOUR RECORDS BEFORE CLICKING SUBMIT
  Booking Form
                  We wish to rent per the following details.
You may pay deposit by credit or debit card after hitting submit below

Arrival Date:
Depart on:
Name:
Address:
City:
State/Cntry:
Zip/Post:
Phone days:
Phone eves:
Fax:
E-mail:
Questions/
Notes:

No. in party,
Adults:

Children:

Arrival Time aft 2 PM:

Rent (see below)*:

Payment refundable up to thirty days prior to booking.  If owner rebooks, we will also refund.
We encourage vacation insurance, it's very reasonable.  We can provide vacation insurance websites upon request.

Rental charge includes electricity, water, landscaping, all linens and towels, WIFI Internet, cable TV.  We work with the Management Company, and take pride in the cleanliness of our homes. Payment: Paypal, Visa, Mastercard, Discover, AMEX, check, money order.
E-signatures are valid upon submission.

Please enter your E-Signature and date

Sign:
Date:
Booking is complete when owner verifies the above information with you.
Thank you Monica and Michael Ouellette
6061 Ostrander Road
PO Box 755
Guilderland, NY  12084
http://www.AFloridahouse.com/CocoaHome.html 
Call Toll Free: (888) 428-8323
Mike's cell: 321-750-8657








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