RESERVATION FORM

Welcome to our OnLine Reservation Form..

Simply fill out all fields as completely as possible. Fields marked with an asterisk are mandatory.
Please " Verify " all your information before sending.

Instruction for Emailing:

Right Click your mouse and choose " Select All "
Right Click your mouse and choose " Copy "
Right Click your mouse and " Paste " info into your email message page

Send to: Mypadre1@aol.com

You may also " Print " this form and " Fax " to us or send by " Snail Mail "

Reservations made using this form will be verified by return email usually within 24 hours and are to be considered unconfirmed until verified. Reservations are usually available and returned to you via email within 48 hours.

If you do not receive confirmation, please call us.
 1-800-527-0294

 Calendar

GUEST INFORMATION

Mr. Ms. Mrs.
First Name*
Last Name*
Email Address*

Mailing Address*
City*
State*
Zip/Postal Code*
Country*
 
Mobile Phone
Day Time Phone Number w/Area code*
Evening Phone Number you can be reached at

PAYMENT TERMS

Payment Method  (If paying with "Cash" please call us to make arrangements)*

Credit Card Number*
4 digit Credit Card Security Code (usually above credit card number)
  Card Expiration Date (month/year)*
Drivers License Number * 
State*   DOB (month/year)*

Street or P O Box Address as show on Billing Statement*
City*
State* 
Zip Code*

REQUESTED RESERVATION TIME AND REQUIREMENTS

Requested Arrival Date ( Month/Day/Year )
Requested Departure Date ( Month/Day/Year)

Alternate Requested Arrival Date ( Month/Day/Year)
Alternate Requested Departure Date ( Month/Day/Year)

  Total Number of Adults Traveling in Group
  Total Number of Children Traveling in Group

   Please check if you will be traveling with pet (we will select a property which accepts pets)
Please indicate type and size of pet

How many rooms will you require  How many bedrooms 
  Check if Sleeper Sofa required        Check if Kitchen is required

Please indicate any special needs in box below

TRAVEL DETAILS

 Estimated Arrival Time at South Padre Island  AM  PM
Traveling by Airline  Traveling by Auto

Some properties require a parking permit. Will you have a vehicle during you stay with us ?     Yes/No

Comments/Special Requests: ( i.e. Specific Location you would like if available )

Please check if you have stayed with us before

How did you hear about us ?  web site  from a friend  magazine  word of mouth  other

Thank You for using My Padre

I Accept the rental/policy agreement   I decline the rental/policy agreement

       

My Padre_Island Services
1700 Padre Boulevard
South Padre Island, Texas 78597
Phone: 956-761-2649 * Fax: 956-761-4251
Rental Information and Reservations:
1-800-527-0294   1-800-426-6530 
      
      

© MyPadre 2004