For Reservations phone: 
Toll Free 800-331-8555

FAX in Reservation Request form
 FAX: 386-427-5501

Reservation Request
Smyrna Beach Club

5205 S. Atlantic Avenue, New Smyrna Beach, Florida 32169

PLEASE PRINT:

Name___________________________________________________________________________________

Street Address ________________________________________________________________________

City, State, (or Province), Zip _______________________________________________________

_______________________________________________________________  Tel. #(___)___________

Arrival Date _____________  Departure __________________________________________________

Number in Party _____ Adults ______Children_____________________________________________

Sorry-no pets

Do you desire a 1 BR - 1 Bath____ 2 BR - 2 bath____  3 BR - 2-1/2 Bath____

Location: High____ Low______


Reservation Request- Refundable deposit required (U.S. Currency) for Security/Damage. The
Security/Damage deposit is $600.00 and must be in US funds only. We will accept
personal checks, travelers cheques, or bank drafts. The deposit
will be returned within 30 days after departure
if there is no damage to your unit. Check here if you heard of us through a ( ) Realtor, ( ) Newspaper, ( ) Radio ( ) Previous or Current Guest ( ) Internet Home Page, ( ) Other 30 DAY CANCELLATION REQUIRED - 60 DAY CANCELLATION REQUIRED FOR ALL RENTALS OF ONE MONTH OR MORE