Reservation Request Form


Directions:

  • Fill out form as completely as possible.

  • You will be contacted by phone for confirmation of this reservation request.

Name (required):
Address: 
City, State, ZIP:
E-mail (required):
Phone Number (required):
Fax Number:
Arrival Date:  
Departure Date:  
Total nights in room:
Number of Adults:
Number of Children:
Number of Beds: 
We do require a $500.00 check or money order
to hold your reservation.
    
    Additional Comments: 



Thank you. You will hear from us shortly.

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Judy Johnston (Realtor)
740 S. Gulfview Blvd.
Clearwater Beach, Florida. 33767
1-727-420-7337
Email:  judy_johnston@msn.com