Parker-Kaufman Realtors Reservation Information Form
You MUST make your reservation by telephone first to assure availability.
Toll Free 1-888-453-5955 or 1-912-635-2512
Fax 1-912-635-2190

Please print this form and complete all the information, sign and return this form
with your deposit within seven (7) days of reserving by phone.
First Name: Last Name:
Street Address:  
City, State & Zip:
Phone (H):     
Email: 		Phone (C): Phone (C):  
Cottage Selection:  
Date of Arrival:         ( After 4:00 p.m.)
Date of Departure:   ( Before 10:00 a.m.)
Deposit Amount:        Paid by Check  MasterCard
                                                                 Visa     Discover
Credit Card #:   Exp. Date:                                           3-Digit Security Code:
Credit Card Holder                                                                                                Signature:                                                                     
Make all checks payable to: Parker-Kaufman, Realtors, P.O. Box 13126, Jekyll Island, GA 31527-0126. In the event of cancellation, deposit cannot be refunded if the cottage is not re-rented. Deposits may be placed in an interest bearing account by Parker-Kaufman and any earned interest retained by Parker-Kaufman to cover administrative expenses. If the payment is by credit card, the undersigned agrees to adhere to the polices of the card issuer.

Renter's Signature:
Renter's Signature required for all reservations.

Additional Comments or requests:

Linens are not furnished with the rental cottages.
You may bring your own or you may rent them through Parker-Kaufman's
office provided we receive your order at least 14 days prior to your arrival date.
Please use the Linen Order Form if you require linens.

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