Print this page and send it compiled to: Fax number 727-593-1095 · Toll-Free 1-800-523-2882 · Local 727-595-5700
or Mail to Address:
San Remo Resort & Beach Club
18320 Gulf Blvd.
Redington Shores, Florida 33708 U.S.A.
Today's Date (month/day/year): _____________
Guest: First Name___________________________ Middle Initial___
Last name____________________________
Address1:_____________________________
Address2:_____________________________
City:_________________________ State:__ Zip:_____-____
Home Phone:(___) ___-____
Best times to reach at this number:
____ 8AM - 5PM M-F
____ Early evening M-F
____ weekends Sat/Sun.
Work Phone:(___) ___-____
Best times to reach at this number:
____ 8AM - 5PM M-F
____ Early evening M-F
____ weekends Sat/Sun.
Billing Information: __ (check here if same as Guest Information above)
First Name:___________________________ Middle Initial:___
Last name:____________________________
Address1:_____________________________
Address2:_____________________________
City:_________________________ State:__ Zip:_____-____
Home Phone:(___) ___-____
Best times to reach at this number:
____ 8AM - 5PM M-F
____ Early evening M-F
____ weekends Sat/Sun.
Work Phone:(___) ___-____
Best times to reach at this number:
____ 8AM - 5PM M-F
____ Early evening M-F
____ weekends Sat/Sun.
Length of Stay
Check In Date (month/day/year): __/__/__
Check Out Date (month/day/year):__/__/__
Floor Plan requested
See Rates Page for more details (check only one please):
__ Gulfview A (2 bedrooms/2 baths, sleeps 4 to 6 people-incl.
children)
__ Gulfview B (2 bedrooms/2 baths, sleeps 4 to 6 people-incl.
children)
__ Gulfview C (2 bedrooms/2 baths, sleeps 4 to 6 people-incl.
children)
__ Gulfview D (3 bedrooms/2 baths, sleeps 6 to 8 people-incl.
children)
__ Town House (3 bedroom/3 baths, sleeps 6 to 8 people-incl.
children)
Sun Exposure Desired (check
best choice)
(not guaranteed; we will do our best to accomodate your choice)
__ North __ South __ West
Height Level Above Beach (check
best choice)
(not guaranteed; we will do our best to accomodate your choice)
__ Low __ High
Special Requests or Accomodations Needs:
Reservation Fee is $U.S. 300.00 Method of Payment
We cannot process your reservation without a valid credit card
or receipt of a check within 3 days) (please check one)
__ Check (will mail later)
__ Credit Card
Credit Card Information:
Card Type ______________ Card Number
__________________________
Card Holder Name & Last Name_________________________
Expiration Date:__/__
I authorize Starvest U.S. Inc. to charge this reservation fee to my Credit Card. I also wave any credit charge back rights which I may have through the credit card company if I fail to notify your office of a cancellation within 48 hours of my expected arrival date and time.
Yes, I Authorize
Signature________________ Date___________
Acceptance: I have read and accept all terms and conditions as stated in this reservation request. Yes, I Accept
Signature________________ Date_________
NOTE: All reservation requests subject to Starvest U.S. Inc. approval and clearance of funds. Date
We will follow-up this reservation with a telephone call.
OPTIONAL (Help Us help You better next time!) Please take a couple of minutes to answer the following questions:
How did you first learn about the San Remo (check one or
more):
__ Our Internet Site
__ Through Link from Internet Site at ( ___________________ )
__ Through Internet Search Engine at ( _________________ )
__ Friend Referral
__ Newspaper Ad in ( ___________________ )
__ Tour Operator with ( ___________________ )
__ Walk-In
__ Local Knowledge
__ Other ( ______________________________________________ )
I am interested in more information. Please send a brochure with rate information to
First Name:___________________________ Middle Initial:___
Last name:____________________________
Address1:_____________________________
Address2:_____________________________
City:_________________________ State:__ Zip:_____-____
Please Call me to tell me more information - Home Phone:(___)
___-____
Best times to reach at this number:
____ 8AM - 5PM M-F
____ Early evening M-F
____ weekends Sat/Sun.
Work Phone:(___) ___-____
Best times to reach at this number:
____ 8AM - 5PM M-F
____ Early evening M-F
____ weekends Sat/Sun.
Thank you for your patronage and interest.
Optional Comments:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________Print this page and send it completed to: Fax number 727-593-1095
or Mail to Address:
San Remo Resort & Beach Club
18320 Gulf Blvd.
Redington Shores, Florida 33708 U.S.A.
Call Toll-Free 1-800-523-2882 · Local 727-595-5700 · Fax: 727-593-1095
