Reservations
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Which Home?
 Do you want pool heat?
Check In Date:
Check Out Date:
First Name:
 Last Name:
Mailing Address:
City, State Zip Code:
Your E-mail Address:
Home Phone Number:
Cell Phone #:
Number of Adults:
 Maximum of 12 Total Occupants
Number of Children:
List all that will be staying in the home, including infants.
Name, Age
 Name, Age
 Name, Age
 Name, Age
How did you find our Site:
Comments:
How did you want to make your payment:
To Agree To Terms of Reservation (Click to to review Terms), you must give an electronic
signature. Reservation will not considered valid unless name is typed in the space below.
If you would like to contact us directly, please call us at 816-525-5659.
To Make a Reservation, ALL Information Must Be Complete.
Until security deposit  is received AND you receive a confirmation from us, your stay is not
reserved.
Deposits and Payments can be sent to:
Lara or Sean Chartier
2028 SW Huntbrook Terrace
Lee's Summit, MO 64082
Only Orlando
D W Pool Homes
Give Us A
Call
530-391-8968