Reservation Form
Hi-Seas Motel
Clearwater Beach, FL
Main Phone: 727-446-6003 Reservations 1-800-333-9677
E-mail:
info@hi-seas.com
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 e-mail or phone for confirmation of this reservation request.
Reservations require a 3 night minimum stay. Shorter stays available on a call or walk-in basis on the day of arrival.
Name
Required
Address:
City, State, Zip:
E-mail:
Required
Phone Number:
Required
Fax Number
Arrival Date:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Departure Date:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
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
Please type in the following number 9966
Additional Comments
