Casa Chips Reservation Form

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Please print out and fill in the following information and mail along with your deposit.

Dates of stay:
Name:
Contact Info:
Address:
Phone:
E-mail:
Room(s) Reserved:	___ Room 1 ___ Room 2 ___ Apartment (3) ___ Room 4 ___ Sunset (5) ___ Studio (6) ___ Sky Suite (7)
Rate:	$
Deposit paid:	$
Amount remaining:	$
Expected time of arrival:
Additional comments:

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