B&K's Registration Page
Call 503-585-2813 and Mail To: 
Bruce Ahrendt
52 N. Point Drive
Bellingham, WA 98229
B & K’s Condo @ Kona Reef
Please check condo availability before placing reservation.
Arrival Date:  ________________		Date Leaving:  ______________

Your Name:  ________________________

Mailing Address:  ________________________

City: _____________________	State: _________	Zip Code: ________

Home Phone:  ______________	Cell Phone:  ______________

Your Email Address:  ________________________
Names of People Staying at Condo

________________________	________________________

________________________	________________________
		Maximum of 4 People

Credit Card Information
A $200 Refundable Security Deposit is Due at Time of Reservation
Total Rental Amount Due if Within 30 Days of Rental Period
Credit Card Type:(MasterCard or Visa) ________________

Name on Card: ________________________

Card Number: ________________________

Expiration Date (MMYY): _______________

Cardholder’s Billing Address: ________________________

Cardholder’s Phone Number: ________________________

Credit Card Security Code: _______________
Visa, MC & Discover (3 digits on back)

Comments:

  I hereby give permission to charge my credit card for the Security deposit & Rental.  By Signing Below, I agree to all terms and conditions of this agreement.  (Please review Terms and Conditions before signing.)
 
 Signature_____________________________________________Date__________