Bruce Beach Bungalow Application and Reservations - A Clearwater Beach Florida Vacation Home Rental, Easy Walk to the Beach

Rental Application

Below is a rental application for prospective vacationers to the Bruce Beach Bungalow. This application can be filled out and submitted directly online, or you can phone in or fax your application information to us. Please note that until an application and $750 deposit is received by us, your vacation dates are not guaranteed. Please read our rental policies before applying.

We accept payment by personal check, cashier's check, money order or direct wire transfer. International Guests Please Note: We accept payment from international guests by wire transfer in U.S. funds only. We also reserve the right to require a copy of a photo I.D. for any domestic or international booking.

Prior to filling out an application, please make sure to:

Check our calendar for availability:
Email or call us at 1-727-204-2849 with any questions.
Read our rental and payment polices
Fill out and submit this application online OR
Print off and fax the application to: 1-866-412-3820
Phone in the application to: 1-727-204-2849
Mail us a check for the $750 security deposit and/or rental fees if this is a last minute rental, in accordance with our policies. You may also of course print and mail this application with your check.

Make check out to Amy Rosa and mail to:

Amy Rosa
2637 E Beverly Road
Shorewood, WI 53211
Please note, until we receive your application and security deposit, dates are not guaranteed.

1. Please provide the following contact information.

Name

Work Phone (Ex: 999-999-9999)

Home Phone (Ex: 999-999-9999)

Cell/Alternate Phone (Ex: 999-999-9999)

Email Address*

*Note: We do not share this information with any third party –
this is simply our preferred method of sending important information to you about your stay.

2. Please enter the desired arrival date of your stay after 3 p.m. EST and departure date by 10 a.m. EST (Day of Week/Date):

3. Please enter the length of your stay (Number of Months):

4. Please enter the number of guests in your party (number of adults and number of children):

5. Is there anything you would like us to know about your reservation or stay, i.e. will you be bringing a pet, what kind?
(A $150 additional non-refundable pet deposit is required.)

6. Would you please tell us how you found the Bruce Beach Bungalow?

7. Type the characters shown in image below for verification.*

By typing YES I certify that I have read and understand the rental policies on the policy page of this website and that by clicking the submit form button I agree to the rental rules and policies described therein. I also understand that until my application with deposit by check is received, my vacation dates are not guaranteed.

Applicants who are faxing or mailing this form must check that they have read the above paragraph in red and then sign below as certification of agreement to rental policies.

________________________________ ________________
(signature) (date)