Davenport, Florida • Minutes from Disney Stay one night or one month • Sleeps 6-8 people Your hosts: Jim & Karen Benigni 907 Millard • Royal Oak, MI 48073 • (248)588-8757 • fax (248)583-4358 www.palmkeysgetaway.com • email: jrbenigni@wowway.com

Name: _________________________________________________________________________

Address: _______________________________________________________________________

City: ________________State: _________ Zip Code: ___________ Country: _________________

Home Phone: _________________________ Cell Phone: _________________________________

Work Phone: __________________________ Fax: ______________________________________

E-Mail Address: __________________________________________________________________

Check in Date: ___/___/_____ After 3:00 P.M., Check out Date: ____/____/_____ Before 11:00 A.M.

Total Amount: $_____.___

Includes: Florida State Tax (7.0%) $_____.___ Florida State Local Tax (5.0%) $______._____

and a $________._____Security Deposit.

Conformation Deposit: $ ______._____is due (1/3) of total is due within 30 days of a verbal commitment.

2^nd payment: $_______._____is due (1/3) will be due (        ) days prior to your arrival.

Final payment: $______._____is due 30 days before your arrival. PAYMENTS IN U.S. FUNDS ONLY.

Short term rentals must be paid in full at the time of booking, unless you are staying 30 days or longer.

The security deposit will be included in the total cost and will be refunded to you within 14 days of your departure providing there is no damage to our home. __________ (initial).

Pets are not permitted in our home and will forfeit your security deposit unless it is negotiated into the individual contract, an additional deposit will be added to cover mishaps. __________ (initial)

Any carpet cleaning or upholstery cleaning will be deducted from your security deposit, ______ (initial)

Smoking is our home will automatically void the return of your security deposit.  Smoking is permitted in the Lanai and under the Carport.________ (initial).

Cancellation Policy: The deposit is nonrefundable within 60 days of your arrival for long term rentals and within 14 days for short term rentals. (If we can rebook your dates we will refund all but $100.00 of your deposit.__________ (initial)

Inclusions: 3 bedrooms and 2 bathrooms, sleeps 6 to 8 people. All linens and towels are provided. Community pool, club house and exercise room. Weekly and daily rentals are cleaned upon departure; long rentals are cleaned on the day of departure. Additional cleanings are available for and additional $ 50.00 per cleaning.

 Husband drivers license # __________________________ Expiration Date:___/____/_____

 Wife drivers License #______________________________ Expiration Date:___/____/_____

 Accepted: _______________________________________ (owner) Date: _____/_____/______

Accepted: ________________________________________ (Client) Date: _____/_____/______