Reservation Request Form

First name

Last name/Surname

Address 1

Address 2

City

State/Province

Zip/Postal

Country

E-mail address

Telephone

Best time to reach you by phone
Day Evening
Check-in date

Check-out date

# of people

Additional Guest Name

At Same Address

What type of room would you like?
Standard
Kitchenette
Standard Plus
Deluxe
Apartment
Suite
Buddy Room
Two Bed Suite

How did you hear about us?

Your privacy is important to us.
Please read our privacy statement

555 Warm Sands Drive • Palm Springs, CA 92264 • 760.323.3005 • 800.357.5695 • warmsandsvil@earthlink.net