Secret Places, premium quality privately owned homes in select areas of Florida's Gulf Coast

Accommodation Booking Form We accept credit card payments!
 
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Booking Form - Payment in US $ only
Payments are accepted by credit card (Visa/MasterCard) or Personal Check
Complete the online reservation form below.
If paying by credit card enter your credit card information before sending.
Alternatively, telephone direct with your card details 1-239-633-0062
Press the "send" button at the bottom of the page to email your reservation.
You will then be redirected to a confirmation page.  Print out a hard copy for your records if paying by credit card, or to include with your payment if paying by check.
A confirmation and reservation number will be sent by return email.
Booking Details

Name of Property
(choose the name of one property from the menu opposite)



Arrival date (after 4pm)
Departure date (by 11am)
Name (head of party)
Address
Postcode / Zip code
Email address
Home Telephone number
Cellphone number
Guest Details
Please include names of ALL guests in your party, (excluding infants) indicate ages if under 16.
Maximum occupancy

2 Bedrooms 4 + infant
3 bedrooms 6 + infant
4 bedrooms 8 + infant
5 bedrooms 10 + infant
Name Age Name Age
1 6
2 7
3 8
4 9
5 10
Rental Details
1a. Accommodation Only  
Rental rate per additional night $
Number of additional nights rental
Rental rate per week $
Number of weeks rental
Rental rate per month (28 nights) $
Number of months (28 nights) rental
Enter Total Charge for Accommodation Only $
 
1b. Accommodation with Boat (Cape Coral only)
Enter Total Charge for Accommodation with Boat $
 

2. Supplementary charges for Property Rental (if applicable)

Electric pool heating is not available on all properties.  Please check details given for the named property of your choice. Click for Information about Electric Pool Heating.

Weeks

Cost
Electric pool heating supplement*** $
Barbeque hire $
Infant cot hire $
Child high chair hire $
Rollaway bed hire $
Enter Total supplementary charges $
 
3. Taxes
Add Florida State Sales & Tourist tax to total rental & total supplementary charges
Sarasota / Bradenton (Manatee County) 11.5%
Cape Coral / Fort Myers (Lee County) 11.0%
Marco Island / Naples (Collier County) 10.0%		 $
 
4. Total Rental + Supplementary Charges + Taxes
ENTER FINAL TOTAL (rental + supplementary items + taxes) $
 
Enter reservation deposit ($250 per week accommodation or $500 per week accommodation with boat) $
Calculate remaining balance due 30 days prior to reservation dates $
 
Payment by Credit Card
Non-US or Canadian Billing Addresses may be subject to an Administration Charge which will be added to the final total.
 
CREDIT CARD AUTHORITY
  • I understand that a deposit of US$250 per week or part week of rental is required to reserve the accommodation and that this deposit is NON REFUNDABLE tick
  • Please select as applicable: My credit card has
    US Billing Address
    Canadian Billing Address
    International Billing Address
  • Please select as applicable:
    Booking Deposit
    Full Payment
    Outstanding Balance
I authorise you to debit my Visa MasterCard
Credit Card Number 
Expiration Date (mm/yy) 
3 digit security code from signature strip
With the sum of $
(if applicable) I also authorise you to debit the same credit card for the outstanding balance (as shown above) 30 days prior to rental date
Name as printed on card: 
If you prefer:
Tick here - To request Secret Places to call you for your credit card details.  Enter your contact telephone number here
Declaration
I certify, on behalf of all persons included on this form, by whom I am authorised to make this booking, that I have read and agree to the Terms and Conditions for the booking, and the price shown on the relevant price list.  I am over 18 years of age.
Print Name

Date

 

We accept credit card payments!

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