Reservation Form

Hi-Seas Motel

Clearwater Beach, FL
Main Phone: 727-446-6003
Fax: 727-443-3955
E-mail: info@hi-seas.com

Internet Special

Mention this coupon and receive

10% off

Valid Aug/01/07-Dec/15/07-reservations and minimum 3 nights stay required

Not valid holidays/special events or with any other discount offer

Please fill out the form below, and we will begin to search for the lodging which best suits your needs.

Directions:

Fill out form as completely as possible.
If you choose not to submit your credit card number you will be contacted via phone.
You will be contacted by phone for confirmation of this reservation request.

Name Required
Address:
City, State, Zip:
E-mail: Required
Phone Number: Required
Fax Number

Arrival Date:
Departure Date:
Total nights in room:
Number of Adults:
Number of Children:	Ages:
Number of Beds:
Bed Type Desired:	King Queen Double
Number of Units:
Smoking Preference:	Smoking Non-Smoking

Additional Comments

Reservation Form

Hi-Seas Motel

Clearwater Beach, FL Main Phone: 727-446-6003 Fax: 727-443-3955 E-mail: info@hi-seas.com

Internet Special

Mention this coupon and receive

Please fill out the form below, and we will begin to search for the lodging which best suits your needs.

Clearwater Beach, FL
Main Phone: 727-446-6003
Fax: 727-443-3955
E-mail: info@hi-seas.com