Westin Rio Mar Beach Resort - Rio Grande, Puerto Rico

Reservation Form

Name   

Address

City  State

Zip Code Country

Phone (Home)  (Work)

Mobile Phone ** very important

Fax e-mail  

Check in date Check out date

Villa (choose one) OCEAN VILLAS: Ocean Villa - 1 bedroom (Sleep 6) Ocean Villa - 2 bedroom (Sleep 8) Ocean Villa - 3 bedroom (Sleep 10) Ocean Villa - 3 bedroom PH (Sleep 10) GOLF VILLAS: Villa Beatrice - 1 bedroom (Sleep 8) Villa Franca - 1 bedroom (Sleep 6) Villa Contenta- 1 bedroom (Sleep 6) Villa Marina- 1 bedroom (Sleep 6) Villa Grace - 2 bedroom (Sleep 5) Villa Vista - 2 bedroom (Sleep 8) Villa Maria - 2 bedroom (Sleep 6) Villa Ilusion - 2 bedroom (Sleep 6) Villa Luz- 2 bedroom (Sleep 6) Villa Arena - 2 bedroom (Sleep 6) Villa Bonita - 2 bedroom (Sleep 6) Villa Paz- 2 bedroom (Sleep 6) Villa Sandy- 2 bedroom (Sleep 8) Villa Mar - 3 bedroom (Sleep 6) Villa Rio - 3 bedroom (Sleep 8) Villa Frances - 3 bedroom (Sleep 8) Villa India - 3 bedroom (Sleep 8) Villa Mundo - 3 bedroom (Sleep 6) Villa Naranja - 3 bedroom (Sleep 10)

Persons who will stay at the villa:

Name  Age

Name  Age

Name  Age

Name  Age

Name  Age

Name  Age

Name  Age

Name  Age

Arrival Flight Arrival time  

 Departure Flight Departure time

  Car rental company   If no car rental, would you like private transportation?  Cost of large van $75 for up to 4 persons (same rate as taxi).  $90 for a Lincoln Town Car. Please specify  Flight arrivals after 7:00 p.m. must take our private transportation.

Cost of rental $  

 Tax & service charge -12% $  

Would you need a crib?  at $20 per night.

Roll away beds needed?  at $25 per night.

Would you like maid service? at $50 per day or $210 per week for 1 bedroom / $60 per day or $270 per week for 2 bedroom.

Total cost of rental $  + $300 damage deposit

Credit Card (Visa/MC)  No. exp.   four-digit security code (found on the back of the card) Name as it appears on the card  

 I hereby authorize Villas in Puerto Rico Realty, P.S.C. to charge the above credit card for the amount of 40% of  my total cost of rental, and charge the balance due 15 days prior to my checking date. I acknowledge that I have read and accepted the terms and conditions of this rental. 

I also acknowledge that I have accepted that in the event that I cancel my reservation, Villas in Puerto Rico Realty P.S.C. will levy the following cancellation penalty percentage rates of the Total Rental Fee (amount shown on the booking confirmation):

• Up to 60 days prior to the arrival date 20%
• Between 15 and 60 days prior to the arrival date 40%
• Less than 15 days prior to the arrival date 100%

I also acknowledge that different conditions and cancellation penalties apply for Christmas and New Years reservations and that I have read then at www.theclusters.com/christmas and accepted them.

Signature: ____________________________  Date: _____________

Additional information / comments:

How did you hear about us  Choose one Google Yahoo MSN Search engine add Vacation Rental Agency Referal Other - Please specify

Once completed, please print, sign, and fax this form to us at 1-305-768-0761.