Application to Reserve Pelican Landing 


We'd like to get to know you and we need to know where to send your deposit refund.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

    Note that if your email address is incorrect, we can't contact you.

Enter the date to check in (4:00 PM)

-- mm/dd/yy

Enter the date to check out (10:00 AM)

-- mm/dd/yy

How many guests and approximate ages of your family or group:

Note that our home is in a quiet neighborhood and we respect our neighbors peace and quiet.


If you'd like to bring your pet, please describe it. We only allow pets that are well behaved and there is an additional $100 fee.

Please fill in for any non related parties staying with you:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

You can place a deposit to hold your reservation by clicking on the PayPal icon,

After you submit Form:


Copyright © 2002, Joel Bridges. All rights reserved.
Revised: September 03, 2003