Reservation Application

PLEASE FILL OUT AND SIGN THIS FORM AND SELECT PAYMENT METHOD

BY CHECK: MAIL TO:

Cheryl Quist,
1170 Hamilton Avenue
Palo Alto, CA. 94301.

BY CREDIT CARD: FAX THIS FORM TO 650 326-6832

Credit Card Type: Visa MasterCard

Name on Card:
Card #	CVV # What's this?
Exp Date: mm/yy

Upon receipt of your reservation form and payment, a confirmation form and key will be sent to you along with a map and directions to the house.

Name
Address
City	State Postal Code
Country
Home Phone
Work Phone
Fax Number
Email Address

Check-In Date (after 4:00 PM):		# of Nights:
Check-Out Date (by 11:00 AM)		# of Guests:

Rental Fee:	($375/night for up to 4 guests x # of nights or $2,250/week x # of weeks)
Plus Supplement for Additional Guests:	($100/night for 1-2 additional guests or $200/night for 3-4 additional guests.)
Plus Mendocino Bed Tax (10% of rental fee)
Plus Cleaning Fee:	$150 (for 2 bedrooms/2 baths upstairs) or $200 (for 4 bedrooms/3 baths)
TOTAL PAYMENT:
Plus Security Deposit	(Separate check or credit card)

By signing below and returning this application, along with payment by check or credit card, you are agreeing to abide by the following rental terms and acknowledgements for the nights reserved at Chez Baleine:

No smoking in the house. No pets are permitted. Rental fees are due in full at the time reservations are made. Cancellations will result in loss of rental payment, unless owner can re-rent the property to someone else for the same period of time. A security deposit in the amount of $500, payable by separate check or credit card, is required (card expiration date must be after your visit is to occur); any breakage, damage, or extraordinary cleaning expenses will be deducted from your security deposit. The balance of your security deposit will be refunded within 14 days of your departure. If any damages exceed your security deposit you will be billed for the additional amount of damage and agree to remit payment within 7 days. For last-minute reservations, arrangements will be made for a key to be picked up near the house. Keys should be left at the house upon departure. Instructions will be left at the house for check-out procedures. The maximum number of guests in the house is eight (8). You agree to use this facility at your own risk and to sign and return the attached notice with your application.

NOTICE TO GUESTS OF CHEZ BALEINE

You have chosen a rental home with beautiful views of the Pacific Ocean. We know you will enjoy this scenic view. However, please note that the ocean and cliffs are treacherous. IT IS DANGEROUS TO WALK NEAR THE EDGE OF THE BLUFFS OR CLIMB DOWN THE CLIFFS. ENTERING THE OCEAN CAN BE HAZARDOUS. There are areas of the coastline with unstable soil. You could fall and be injured. High winds and strong waves could sweep you off the cliffs and into the ocean, which has powerful undercurrents and is very cold. Please use extreme caution around the ocean, and never turn your back when you are near it. Be particularly careful and watchful of your children.

Please sign below to acknowledge that you have received and understood this warning about the dangerous nature of our beautiful coastline and agree you and all members of your party will stay away from the edge of the bluffs and cliffs while staying at Chez Baleine.

Dated:

_________________________

Signed:

____________________________

Thank you for your reservation application. Please sign and submit the entirety of this Rental Agreement when reserving Chez Baleine. We look forward to hosting you during your visit to the Mendocino area.