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Peter Valorz
109 Huntington Rd
Milton Ma. 02186 2002 Form
Telephone (617) 696-5987
NAME:___________________________________
TELEPHONE:______________________________
STREET ADDRESS:__________________________
CITY/STATE/ZIP____________________________
E-Mail address _____________________________
LOCATION PEQUAWKET POND
WEEK(S) DESIRED:__________________________
ALTERNATE WEEK(S):_______________________
DEPOSIT BALANCE
($600/ WEEK): $__________DUE: $_____________
I understand that no pets are allowed and agree not to
bring any pets. failure to comply will result in the forfeiture of the security
deposit.__________________(please initial)
I understand that it my responsibility to leave the house neat and
clean and bring any trash to the dump, failure to comply will result in the forfeiture of
the security deposit. ____________(please initial)
(Bank Check Required) (Add $100 Security deposit)
A security deposit of $100 is required as part of the second payment. The security deposit
will be returned within four weeks after your vacation provided the house is left clean,
in good repair and the trash has been removed.
Weekly rentals are from Sunday to Sunday.