Clear Creek Cabins Gift Certificate Purchase Form

www.ClearCreekCabins.com

Fax Gift Certificate Purchase Form to: 877-715-2783
A Gift Certificate will be mailed or e-mailed to you upon receipt of this form.

Dates of Stay:_________________________ # of nights: ____ # of persons: _____ Adults __ Children
Please specify "unknown" if you wish to determine the dates of stay at a later time.

Expected arrival time: _________ (If known -- please note that check-in is 4PM or later)

How did you locate our web-site? ______________________________________

Daily Rates, Including Tax (Please check the cabin of your choice):

  1 Night 2 Nights 3 Nights 4 Nights 1 Week
___Cabin in the Meadow $137.50 $275.00 $412.50 $550.00 $866.25
___Cabin on the Hill $159.50 $319.00 $478.50 $638.00 $1004.85
___Cabin in the Woods $159.50 #319.00 $478.50 $638.00 $1004.85

Gift Certificate Amount: $_____________________
( amount must be chosen from the table above - please note that we ususally have a 2 or 3 night minimum)

Credit/Debit Card Number: _______________________________ Exp. Date: ____________
Security Code (see back of your card): ______ Credit/Debit Card Type: __ Mastercard ___ VISA

Customer has authorized Clear Creek Cabins to charge the amount shown to customer's credit card. Cabin rental is subject to our Vacation Rental Agreement and terms on our Reservation Form. Gift Certificate recipient must fill out the online Reservation Form specifying dates that the Gift Certificate will be used. Customer agrees to hold Clear Creek Cabins and its property owners harmless for any accident or injury whatsoever that may occur on the rental property during occupancy. Please note that the cabins are non-smoking, and that regretfully we cannot we cannot accommodate pets.

Signature: ___________________________

Billing Address
(must be credit card billing address)		 Mailing Address
(for Gift Certificate, if different)
Name:__________________________ Name:__________________________
Address:________________________ Address:________________________
City, State:____________________ City, State:____________________
Zip:__________________________ Zip:__________________________
Phone:______________________________ Cell Phone:___________________________

E-mail address: __________________________________________________________

(Gift Certificate will be sent to e-mail address, unless you request it be sent by mail.)

If you prefer to send a check, it can be mailed to: Clear Creek Cabins, 172 Highlands Sq. Dr. #144, Hendersonville, NC 28792 Phone: 877-715-2783 PLEASE NOTE: Gift Certifictes cannot be used until thirty days after receipt of check.