Complete the Form below:
509 East 19th Avenue
Unit - 103
North Wildwood, NJ
Rental Property Specifications
Building Type:
Townhouse
Bedrooms:
4
Bathrooms:
3
Sleeps:
10
Bedding Information
1st Floor Bedroom 1:
1 King
1st Floor Bedroom 2:
1 Queen
1st Floor Bedroom 3:
2 Twin
1st Floor Bedroom 4:
1 Queen
1 Double
Personal Information:
* Required Information
First Name:*
Last Name:*
Address:
City/State/Zip:
Contact Information:
NOTE:
Entries are optional except for your select method of contact.
Best Way To Reach Me:
Anytime
Morning
Afternoon
By
Home Phone
Cell Phone
Office Phone
Email
Home Phone/Cell:*
Office Phone:
Cell Phone:
Fax Number:
E-mail Address:*
Have you had contact with anyone at Lees?
No
Yes
If yes, which agent:
Desired Dates:
Arrival Date:
Departure Date:
NOTE:
This vacation rental will sleep up to
10
people.
For My Party Of
1
2
3
4
5
6
7
8
9
10
Adults
0
1
2
3
4
5
6
7
8
9
Children
Comments:
(No Special Characters)
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