Reservation Form

Please complete the following form to request your reservation. We will do our best to respond to you by e-mail or phone within 24 hours. Please be sure to check our Availability Calendar to see if the chalet is available for your requested dates before submitting form. If you would prefer to call instead, the phone number is (205) 663-3697 or you can email questions to questions@smokiesrental.com

First Name

Last Name

Work Phone
        (XXX-XXX-XXXX)

Home Phone       (XXX-XXX-XXXX)

E-mail

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Arrival Date:         -- mm/dd/yy
Departure Date:    -- mm/dd/yy

Are you at least 25 years of age?    (check if yes)

Number of Adults:
Children Age 6 or above:
Children Under Age 6:

Choose one of the following payment options:

Credit Card
Money Order
Traveler's Check
Cashier's Check
Personal Check (payment must be at least 30 days from date of arrival)

Additional instructions or questions: (preferred method of contact, best time to contact, etc.)

*First Name*
*Last Name*
*Work Phone*	(XXX-XXX-XXXX)
*Home Phone*	(XXX-XXX-XXXX)
*E-mail*

*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*

Reservation Form

Copyright © 2003 . A Window to Paradise. All rights reserved. Revised: 05/19/04

Copyright © 2003 . A Window to Paradise. All rights reserved.
Revised: 05/19/04