14075 Mill Street P.O. Box 1673 Guerneville, CA 95446 800 433-6673 707 869-4560 Fax 707 869-1243 e-Mail Us

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	Reservation Application

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Please review the Booking Information Page before completing this application.

First Name:        *  * = Required 
Last Name:         *  * = Required
Organization:        
Email:             *  * = Required
Day Telephone:     *  * = Required
NightTelephone:        
Fax:                 
Street Address:      
                     
City:                
State or Province:   Choose State / Prov. Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Terr. Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Isl. Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon 
Zip Code:            
Country:             

List of Houses Available:           Choose Primary House Austin Reef Blackberry Bliss The Boat House Bohemian Rhapsody Bon-Bon's Bungalow Bill's Casa del Rio Casa Lucia Como Estate Creekside Deer Hollow Downtown Dreamcatcher Easy Days Enchanted Woods Escondite Fernwood Forest Lodge Funwood Glen Tara Grandma's House Grand Prix Harmony House Hidden Valley Hideaway Laughlin Estate Luv Shack Mallard Manor Mandarin Skies Moscow Magic Nikiyah Northwood Nine Rancho del Paradise Redwood Haven River Queen River Rest Sanctuiare Serendipity Sha Sha's Garden Star Meadow  Sundancing River Lodge Tall Trees Tres Pinos Twenty Twenty Villa Madrone Wind in the Willows 
Name of Primary House Requested: *  *=Required Field
Name of Alternate House Requested:  
Name 2nd Alternate House Requested:
Check-In Date Requested:  Number of Nights  * Date & # Nights are Required Fields
Alternate Check-In Date:  Number of Nights 
Number of Adults in Party:                   
Number of Children in Party:                    Ages  
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Dog  (No)      Dog  (Yes)   
Age of Dog        Breed     
Age of Dog        Breed     
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The damage waiver fee will be added to the rental unless declined.
      See Damage Waiver and Security Deposit items on the Booking Information Page.  
            Do you decline the damage waiver 
      and agree to an open-ended credit card authorization for damage?   (Yes)      (No)  

Would you like to be ADDED to our Confidential Mailing List ?    (Yes)      (No)  

Comments:

Please review your Requested Houses & All Seven Required Fields
    to make sure they are correct.   
        Before you press "Submit"

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