Debra Van Dyke
1811 Englewood Rd.
Suite # 166
Englewood, Florida 34223-1822
Wedding Date ____________Time____________Location ____________
Groom's Name
Address
City/ State/Zip
Daytime Phone
Nighttime Phone
Bride's Name
Address
City/ State/ Zip
Daytime Phone
Nighttime Phone
E-mail Address
Expected # of Guests ___________ ( We accept credit cards for initial deposit~ Please call office)
Services Requested:
( ) Intimate Island $599.00 Deposit 300.00
( ) Aloha Dreams® $999.00 Deposit 300.00
( ) Tropical Delight $ 1199.00 Deposit 400.00
( ) Now & Forever® $1499.00 Deposit $400.00
( ) Barefoot Bed of Roses® $1599.00 Deposit $400.00
( ) Barefoot Bed of Roses Deluxe® $ 1999.00 Deposit $ 500.00
( ) Barefoot Dream Deluxe ® $1999.00 Deposit $500.00
( ) Tropical Barefoot Dream Deluxe® $1999.00 Deposit $500.00
( ) A la Carte items
_
Deposits are NON- REFUNDABLE
Ala Carte Items may be added until 30 days prior to wedding
Packages can be upgraded at anytime, based upon availability
Due to scheduling of staff, packages will not be downgraded after reservation.
Filing and payment of beach permits are the responsiblity of the bride/groom.
Balance due 30 days prior to date.
I have read and agree to the terms as stated above.
Bride Signature:
Groom Signature:
Cashiers Check or Money Order only ~ made payable to:
Debra Van Dyke
1811 Englewood Rd. #166
Englewood, Florida 34223-1822
Please call or e-mail to confirm date and time availability - print & complete form
Cashiers Check or Money Order made payable to :
