The Reserve, Unit 15-D 201 Wildflower Ridge Sugar Mountain, North Carolina 28604 Condo Tel: (828) 898-3730 Owner Tel: (561) 737-1525

PRINT, COMPLETE AND MAIL THIS FORM WITH PAYMENT TO Susan and Wayne Schulz 9174 Magenta Drive Boynton Beach, FL 33472

Name:

Address:

Phone:		Fax:
Cell:		Email:
Check-in Date:		Check-out Date:

Total #   Nights | Weeks | Months:		Number of Adults:		Number of Children:

Pet Breed:		Pet Weight:
Vehicle Make/Model/Color:		Vehicle License Plate:

Base Amount:		Daily | Weekly | Monthly   Rate:		#   Nights | Weeks | Months:
	=		*
11% Tax:
	(7% Sales Tax + 4% N.C. Bed Tax)
Cleaning Fee:
$60.00
Security Deposit:
$300.00	(Refunded after condo is checked for damage and keys are returned.     Any damage found at check-in must be reported to owner immediately.)
$60 Pet Fee:
	(If Applicable)
TOTAL AMOUNT DUE:
	(Base Amount + Tax + Cleaning Fee + Refundable Security Deposit + Pet Fee)