If you are booking from the US please print out this form and send it completed in full with your payment to:

 

Visual Encounters Inc. 30 Maple Avenue Plainsboro NJ 08536 U.S.A.

If you are booking from England or Europe please email us for booking details.

 

 

Cheques should be made payable to "Visual Encounters Inc."   (Please note that a reservation will not be complete until we receive this form with your payment.)

 

Property to Reserve:	Beachcomber
Booking Ref. No. (Office use only)

 

From (date):

Leaving on (date):

                                                        (MM/DD/YYYY)                                                                                           (MM/DD/YYYY)

 

I enclose my deposit / full payment (deposit rounded up to the nearest $10 please) amounting to

$	of the total rental charge.  (Payment is required in full if the start date

of your rental is less than 2 months away)  A deposit payment of not less than ONE THIRD is required, please.

 

When paying in full an additional security deposit of $500.00 is also required.  (See clause 4 of the booking conditions).

 

I declare that I am over 18 years of age and have read the Booking Conditions and agree to be bound to the particulars there written.

 

Signed:

Date:

 

Full Name:

 

Address:

 

 

 

 

'Phone    Day:

Evening:

Cell:

 

Total number in party:			Number of Adults
Number of Children in Beds			Number of Children in Cot(s)

Cot required:        YES/NO

 

Linen Required:    YES/NO

(If yes, please itemise the number of single/twin,  double/full-size or other beds required below)

All linen must be hired when initially placing your booking.  Requests for linen after receipt of payment may not be possible.

 

Please give names and addresses of other families or couples sharing your vacation rental:

 

Credit Card Details (If paying rental deposit by credit card)

Type:

Number:

Exp. Date:

(MasterCard / Visa)

 

Please state where you initially saw information on Beachcomber