Unit
_________________________
Valdez,
Alaska
How
you heard about us. Do we have
anyone to thank?
Room(s) selected _____________________________________________
Beginning
_______________ Estimated arrival time _________________
Ending
_______________ Estimated time of departure _________
Price
_______________
Make checks out to Hursh Realtors Trust
How
paid
________________
Check, Visa, MC, cash or TC
Credit
card number also
required in lieu
of deposit or with payment by cash or check
Visa
or Master Card _____
______ ______
______ Expires
____ ____
Thank
you for not bringing pets
Kitchen
use is available for everyone if cleaned up afterwards,
Otherwise
an additional fee of $25 shall be authorized on credit card
Extensive
kitchen use available when no other discounts have been taken;
Rental
rate includes _____ full kitchen use
OR
, Rental Rate excludes ______ full kitchen use (sleeping/bath only)
Please
note, that if non-resident guests have day use of unit,
Add
on fee per person shall be $15/day
Please list the names of all approved people who will be occupying this unit.
Phone at this location _________________
TV included ___________________
Terms
above accepted and home, room & bath found to be satisfactory prior to
spending the night.
Name ___________________________________
Signature (s) _____________________________ ____________________________
Address _________________________________
cell phone no
_____________________________
Car make, model, color & license No./State:
Home Phone no _____________________________
e-mail _______________________
Visa or Master Card # _______ _______ _______ _______ Expires _____ / _____ Credit Card to be imprinted
Contact us by calling 835-5333 or message 831-1000 valdez@alaska.com Lodging options www.valdezlink.com/lodging.htm
Move out - all dishes washed
& the unit picked up
& looking neat & orderly