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Primary renter's name
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E-mail address
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Home (street) address
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Town/City/State
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ZIP or postal code
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Country
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Contact phone number
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Cell/mobile phone number
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Fax number
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Number of adults in party
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Number of children in party
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Ages of children under 18 (separate by space or comma)
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At least one person occupying the home will be age 25 or older.
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I (the renter) agree to rent the property for this many nights
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Checking in on (date)
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Checking out on (date)
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The total rate I have been quoted for this entire stay, including all fees and taxes except the security deposit, is (in US dollars)
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I understand that a $200 deposit is required to hold a reservation, and that full payment is due 30 days prior to arrival, or upon acceptance of my booking if already within 30 days of arrival.
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I agree to provide an additional security deposit of $200.00, refundable under the criteria stated in the Terms and Conditions
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I have read and understand the Rental Terms and Conditions of Rental as published on this web site, and agree to be bound by them
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I have read and understand the cancellation/refund policy, and acknowledge this goes into effect once you have accepted my reservation and Initial Payment
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I understand no smoking is allowed inside the home.
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I understand that no pets are to be brought into the home.
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I acknowledge earliest check-in time of 4pm and latest check-out time of 10am unless otherwise agreed in writing.
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I understand this reservation is not offically confirmed unless/until I receive a confirmation email (should be within 24 hours, usually much sooner) and have remitted the necessary payment in Step 3.
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By typing my name in the box to the right, I am ELECTRONICALLY SIGNING this Agreement. Per United States ESIGN Act of 2000, this action will be equivalent to my signing a printed Rental Agreement with my handwritten signature.
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