Grecian Gardens Accommodation Reservation

Your Name(s):                                                                             Date:

Your Address:

City:                                              State:                             Zip Code:

Home Phone:                              Cell Phone:                                  Work Phone:

Fax Number:                               Email address:        

Number of Rooms:                      Type Room:  c Standard Large Room   c 2 Room Efficiency

Date of Arrival:                      Date of Departure:                    Total Number of Nights:

Time of Arrival:                             c A.M.   c P.M.

Number in Party:                 Adults:                 Children (under 12):                 Teens:

Daily Room Rate:                         Deposit:                    *Balance Due: