St. John, U.S. Virgin Islands
Reservation Form

Candy and Bill Kaspers
1165 Churchill Downs Road
Atlanta, Georgia 30319
U.S. Tel.:  (470) 251-2238
Email:  candykaspers@gmail.com

Dear Candy and Bill:

I am interested in securing a reservation for Mampoo Hill to arrive on ____________________
and depart on ____________________.  Enclosed is a check (made payable to "Candace Kaspers") in the amount of $_____________ in payment of 50% of the rental cost.  I understand that the remaining 50% of the rental cost will be due two months prior to scheduled arrival at Mampoo Hill (Note:  Some refunds are available only if Mampoo Hill is re-rented for the same time).

NAME: _____________________________________________________________________

ADDRESS: __________________________________________________________________

         __________________________________________________________________

PHONE NOS.: Home: (___)________/Cell: (___)________ EMAIL: ________________

NO. IN PARTY:  ________ AGES OF CHILDREN IF APPLICABLE: ___________________

APPROXIMATE TIME OF ARRIVAL (IF KNOWN): __________________

DO YOU WANT US TO ARRANGE FOR A JEEP RENTAL: YES ___
                                              NO ___

HOW DID YOU LEARN OF MAMPOO HILL: _________________________________________

                                  _________________________________________

                                  _________________________________________

                                  _________________________________________

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