A.

CONTACT INFORMATION:

1.

Full Name (first name, last name):*

2.

Street Address (street):*

3.

City:*

4.

State:*
       

Zip Code:*

5.

Email Address:*

6.

Daytime Telephone:*
(xxx-xxx-xxxx)  

7.

Evening Telephone:*
(xxx-xxx-xxxx)  

8.

Best Time to Contact:*
  
Morning   Afternoons   Evenings  

B.

RESERVATION INFORMATION:

1.

Type of Accommodation:
  
Vista Suite ($5,860.*)  
Veranda Suite ($7,305.*)  
Midship Veranda ($7,645.*)  
Silver Suite ($10,960.*)  
Royal Suite ($13,850.*)