Please fill out all the information in this form.
Full Name *
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Present address *
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Home Phone Number *
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Office Phone Number *
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Cell Phone Number *
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Best time to call: *
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Email Address: *
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Date and duration of your stay at the "Prana Residence-Spa *
(Say none if you will be staying only at the Prana Guest House)
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Driver's License # *
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Make/ Model *
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License Plate *
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Name, approximate age and relationship of every person that will stay with you include children: *
(Prana Residence-Spa is not well suited for children under 7 years of age. However, to accommodate you, we will permit them upon a signed waiver of liability) Maximum occupancy for Prana Residence-Spa is seven* (7). *Please note that 7th bed is actually a mattress in the loft which is in the bedroom with the 2 single beds.
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Contact name and number in case of emergency *
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Relationship with your contact?
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Pets? (Upon approval) *
If yes, please describe Breed**, Name, Color, Weight, Age, Sex, Licence Tag and whether crate trained:
(Please include all of the details requested. **Our insurance excludes the following breeds: Pitbull, Rottweiler, Chow, Doberman, Wolf Hybrid, Akita, Bull Mastiff)
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To better serve our guests we would appreciate it if you let us know your reason for choosing Prana
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How did you hear about us? *
(Name of referrer or website, ad etc.)
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Any Notes or Comments?
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Digtal Signature *
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Today's Date *
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