Form

Use our PDF form to print out and fax or mail if you prefer. Please fill in all blanks marked in RED and mail to: Alice B. Wilhoit Reservations Manager Email: [email protected] Tel: 941.488.0522 or 1.800.838.3918 Fax: 941.488.3953 1604 Maple Street Nokomis, Florida 34275-2429 USA (PDF FORM) Name: _________________________________________________________________ Address: ________________________________________________________________ State: __________________________________________________________________ ZIP ____________________________________________________________________ Email __________________________________________________________________ Number in Party: ______________________________________ Dates Requested: ______________________________________ Type of Rooms: ___ Single ___ Double ___Triple ___Quad Transfers Needed: ________________________________________________________________________ Special dietary needs, instructions, comments and questions: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Payment by: ____ Check ____ Credit Card Type of Credit Card: __ VISA __ MasterCard Credit Card No._____________________________________ Expiry Date: _______ Name on Card: _____________________