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

Accommodation Booking Form We accept credit card payments!

 

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

1. Property Rental Details
Property rental rate per night (for part weeks over 7 nights) use "N" (nightly rate) $
Number of additional nights rental

Property rental rate per week (for full weeks 7/14/21 nights etc) use "W" (weekly rate) $
Number of full weeks rental

Property rental 5 night break (Memorial Day/4th July/Thanksgiving) use "Holiday Break Rates " $

Property rental rate per month (for 28 nights) use "M" (monthly rate) - Additional nights are then calculated pro-rata $
Total Number of full months (28 nights) rental
Total Number of additional nights

Enter Total Charge for Property Rental $
 

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

Calculate Florida State Sales & Tourist tax applicable to rental charge and supplementary items charge
Sarasota / Bradenton (Manatee County) 10.5%
Cape Coral / Fort Myers (Lee County) 11.0%

$
 
4. Total Accommodation + Supplementary Charges + Taxes
ENTER GRAND TOTAL (rental + supplementary items + taxes) $
 
Enter reservation deposit ($250 per week and/or part week) $
Calculate remaining balance due 30 days prior to reservation dates $
 
Payment by Credit Card
Non-US or Canadian Billing Addresses will incur a 4% Admin Charge.
This will be automatically added to the grand 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 - Please telephone me for my credit card details.  Enter 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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