GUEST INFORMATION

First Name*
Last Name*
Email Address*

Mailing Address*
City*
State*
Zip/Postal Code*
Country*
 
Mobile Phone
Day Time Phone Number w/Area code*
Evening Phone Number you can be reached at

REQUESTED RESERVATION TIME AND REQUIREMENTS

Requested Arrival Date ( Month/Day/Year )
Requested Departure Date ( Month/Day/Year)

  Total Number of Adults Traveling in Group
  Total Number of Children Traveling in Group

Name of property requested

How many rooms will you require  How many bedrooms 
  Check if Sleeper Sofa required       

Please indicate any special needs in box below

TRAVEL DETAILS

Comments/Special Requests: ( i.e. Specific Location you would like if available )

Please check if you have stayed with us before

How did you hear about us ?  web site  from a friend  magazine  word of mouth  other

Thank You for using My Padre

I Accept the rental/policy agreement   I decline the rental/policy agreement