OCEAN SANDS MOTEL
RESERVATION REQUEST FORM

All reservations are tentative until confirmed by
telphone or e-mail.

Please read the terms and policies carefully before you make a reservation request.

When filling out this form, please remember that this is only a request, not a guaranteed reservation. A reservationist will contact you by e-mail or telephone within 48 hours to discuss and confirm your advance reservation.

(* = required field)
CONTACT INFORMATION
*First Name:
*Last Name:
*Address:
Apt:
*City:
*State/Province:
Country:
*Zip Code:
*E-Mail:
*Home Phone:
Work Phone:
Best Time to Call:
RESERVATION INFORMATION
*Arrival Date:
*Departure Date:
*Room Type:
  Motel Room
 Efficiency Unit
 Apartment
# of Adults:
# of Children (under 4):
Reservation Option:
(Consult list of specials)
 Escape Holiday
Holiday Specials
Penny Pincher Special
Super Saver
Extended Stay
No Frills Special
Fab '50s Weekend
Salute the '60s Weekend
Additional Needs: