Print the following form and use the back button on your browser to return to Ocean Drive Beach Villas Web Site.

Please complete the following and fax or mail it to Ocean Drive Beach Villas so we may arrange and hold your reservation.

OCEAN DRIVE BEACH VILLAS - RESERVATION REQUEST
4621 North Ocean Drive
Lauderdale By The Sea, FL 33308
TEL.: 954-772-3672
TEL.: 954-786-1359
FAX: 954-786-1967
E-mail: oceandrivevillas@bellsouth.net
http://www.oceandrivebeachvillas.com
--------------------------------------------------------------------------------------------------------------

Name: (Please print) ________________________________________________________

Address __________________________________________________________________

City ________________________ State/Country __________ Zip / Postal Code ________

Phone ________________________________ Fax _______________________________

E-mail _______________________________

How did you hear about us? __________________________________________________

Arrival Date _________________________ Departure Date _________________________

Total Number Days ___________________ Number of Guest _______________________

Palm Suite ______ Fountain Suite ______

Approximate Arrival Time / Airline Information ____________________________________