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First Name
Last Name
Sex Male Female
Date of Birth
Day Month Year
Address
City
State / Province Zip / Postal Code
Phone Number
E-mail Address
Type of Room Interested In
Check In Date
Calendar
Check Out Date
Calendar
Credit Card Type VISA MasterCard
Credit Card Number Expires
US RESIDENT
Social Security Number
Driver's License
Number State
INTERNATIONAL
Passport Number
Visa Type
Comments
How did you hear about us? Other:
Terms and Conditions Agreement

Incomplete applications cannot be processed, so be sure to fill out this form completely. For monthly rentals, a $25 application fee will be charged for each submission. If you cancel for any reason 3 days after the reservation is confirmed, you will be charged a $100.00 cancellation fee.

A $100 holding deposit is due upon registration together with the application fee.

"I hereby authorize Vantaggio Suites to whom I am sending this registration to obtain a consumer credit report."
Do you agree with the terms and conditions?
Yes No

To complete your application, you must acknowledge your acceptance.
Thank you for your application!


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Copyright 2008 Vantaggio Suites. All rights reserved.



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