Request Form

Reservation Request Form

Your Name: _____________________________________________________

Address: ________________________________________________________

City: _______________________ State: _________ Zip: _________________

Home Phone: ______________________ Work Phone: ___________________

Cell Phone: ___________________ Email Address: _________________________

Name of Vacation Home: ___________________________________________

Arrival Date: ___________________
Check In time: 3:00 pm or later Departure Date: ____________________
Check Out time: 10:00 am

Rental Amount: _________________
Does not include 11% tax Number of Guests: __________________
Maximum occupancy MUST be observed

Please complete this form and mail it to:

Palmetto Properties of Myrtle Beach
P.O. Box 1353
Myrtle Beach, SC 29578

Reservation Request Form
Your Name: _____________________________________________________
Address: ________________________________________________________
City: _______________________ State: _________ Zip: _________________
Home Phone: ______________________ Work Phone: ___________________
Cell Phone: ___________________ Email Address: _________________________
Name of Vacation Home: ___________________________________________
Arrival Date: ___________________ Check In time: 3:00 pm or later	Departure Date: ____________________ Check Out time: 10:00 am
Rental Amount: _________________ Does not include 11% tax	Number of Guests: __________________ Maximum occupancy MUST be observed
Please complete this form and mail it to: Palmetto Properties of Myrtle Beach P.O. Box 1353 Myrtle Beach, SC 29578