PLEASE ANSWER THE FOLLOWING:

1) We are requesting:
3 bedrooms/1 bath option (maximum 6 guests) The 4^th bedroom/2^nd bath will be locked.
4 bedrooms/2 bath option (maximum 10 guests)

2) Our arrival date is ____ / ____ / ____ Our departure date is ____ / ____ / ____
(Our earliest check-in is at 4:00 p.m.) (Our check-out is at 12:00 p.m. noon)

3) Our party consists of _______ (#) people including children and infants.

4) Total payment required: (Please complete with us by the phone to ensure correct amounts.)

a. Total of _____ nights x rate of __________ /night....................................... $__________

b. Holiday nights ____ x $50.00/night (call for details)............................................. $__________

c. Extra guests _____ x $10.00 x ____ nights...................................................... $__________

i.(Guests over 8 incur a $10.00 per night per guest additional charge.)

d. Deposit/Fee is .............................................................................................................. $__125.00_

i.Includes linens, towels, firewood as available, set-up, cleaning/key/card deposits, etc.

ii.$50.00 is refunded if the house is left clean as per our cleaning list; we try to mail refunds by the 10th of the next month after your visit.

e. Total Amount Due................................................................................................. $__________

f. PayPal (add 5% transaction fee, use “dasjjj@hotmail.com” for the PayPal recipient).... $__________

g. TOTAL AMOUNT DUE WITH PayPal FEE....................................................... $__________

i.In order to hold your reservation, we must receive your payment in full. If you cancel and we re-rent your dates, we will send a refund to you less the Deposit/Fee.

ii.Make your payment in full to the following:

Jerry Jensen

P.O. Box 174
McMinnville, OR 97128

Please clean the home per our cleaning sheet, do linens, etc., and follow the instructions for the return of the key and card in order to receive the $50.00 refund.

You must include a list of people in your group for a letter of introduction for Salishan Security. No one will be admitted if they are not on the following list. We are a private and gated community, not open to the general public.

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