Lucaya Cove House Condominium, Grand Bahama Island, Bahamas

RESERVATION CONFIRMATION COVE HOUSE CONDO, UNIT 311
BAHAMA REEF BLVD., FREEPORT, BAHAMAS

COPY and COMPLETE THIS FORM AND MAIL IT WITH PAYMENT TO:
Ed Hickox,  1721 Baron Court, Port Orange, Florida 32128 or FAX Completed Reservation Form to 1-888-566-3359
Please check the calendar for available dates.
We accept Visa, MasterCard and Discover Card. 

Name: _________________________________________________________________________________________

Address: Street________________________________City______________________State_______Zip______________

Phone: ___________________, Fax: ___________________, Cell: __________________, E-Mail:__________________

Check-in Date: ______________, Check-out Date: ______________, Total # Nights:________, #Adults___, #Children___

                                   ***** 3 Night Minimum Stay****

$_______(Total) = Daily Room Rate (Incl. Tax): $_________________X _________(# Nights) 1 Bedroom (4 people Max.)

$_______(Total) = Daily Room Rate (Incl. Tax): $_________________X _________ (# Nights) 2 Bedroom (6 People Max.)

$_______(Total) = Dockage (See Rates Page.)

$_______ Subtotal

$ 90.00___Cleaning Fee

$ 500.00___Security Deposit (Refunded after condo is checked for damage and keys are returned. Any damage found
at check-in must be reported to owner immediately.) Note: Lost key charge is $30.00

$ ________Total Money due (Room / Tax / Cleaning Fee and Refundable Security Deposit)

Credit Card Information: Visa___  MasterCard___  Discover ___  Card Number _________ -_________ - _________ -_____ ____ Exp Date ___/____  3 digit security code __ __ __. Credit Card holders name (name on credit card): ________________________________. Address where credit card bills are sent: Street_______________________________________City______________________State____________________Zip___________________.

By signing below I certify that the credit card information above is true and accurate. I authorize the total money due above (Room / Tax / Cleaning Fee and Refundable Security Deposit) to be charged to the credit card listed above.

Signature: ________________________________

FOR GUEST SAFETY AND SECURITY, ALL GUESTS MUST CHECK IN  AND OUT WITH FRONT DESK

Guest list: 1)________________________  2) _______________________ 3)____________________________
4)________________________________  5)_________________________ 6) ___________________________

Cancellation Policies and Penalties:
Reservations cancellations requests must be made in writing (e-mail or U.S. Mail). If reservation is cancelled less than
21 days before scheduled check-in date 50% of  room rental payment will be forfeited. If reservation is cancelled less
than 7 days before scheduled check-in date 100 % of room rental payment will be forfeited.
CHECK-IN TIME AFTER 4 P.M. and CHECK-OUT TIME BEFORE 10 A.M.
** NO PETS - NO SMOKING - Deposit will be withheld if pets or smoking are found in the unit. - WE'RE NOT
RESPONSIBLE FOR WEATHER CONDITIONS**
By signing below I acknowledge that I have read, understand and accept all policies and penalties listed on this web site:

X____________________________________/_________________________________
Signature /Date

How did you hear about our condo? ____________________________________________
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*DO NOT FILL-IN BELOW*

Payment Type: __________ Check #: __________ Check Amount: $__________ Date Received: ____________

Security Deposit (Refundable):  Date Returned: ______________ Check #: ______________ Amount Returned: $___________

Room Key # :_______________ Date Mailed: ____________ Date Returned:_______________

CONFIRMATION # ___________________________ Date Processed: _____________ Name: ____________________________