Please mail/fax this completed page to:


P.O. Box 4732

Skokie, IL 60076

Ph: (773) 543-3500

Fax: (847) 770-4791


If you have any questions please contact Dan at (773) 543-3500.

Make all checks payable to Dan Florian. You may also e-mail your questions at:

This agreement is hereby made between Dan Florian hereafter known as OWNER, and ______________________________, hereafter known as RENTER. RENTER shall rent the OWNERS premises at ________________________________________, Breckenridge, CO from 4:30pm (check-in no sooner than 4:30pm) ________________(date) to 10:30am (check-out no later than 10:30am) ___________________(date).

Total number of people


For the total sum of (# of nights times amount per night)


Plus a daily surcharge of $60 on 2 day rentals or $40 on 3 day rentals or $30 on 4 day rentals

(no charge on 5 day and up)

$ ____________

Plus Damage Deposit ($350.00 or more depending on risk, call)

(refundable  after inspection, and phone bill has been checked the following month)


Visa and MasterCard now accepted at no charge, and all taxes and processing fees included.



$ ____________

 2 Days non refundable due

(at time of booking to hold dates)

$ ____________

Remaining balance of

$ ____________

Balance due 45days (60 days on holiday bookings) prior to arrival.
If full payment is not received by due date balance will be charged to your credit card.

Due Date __________

LEAVE IT NEAT AND CLEAN CLAUSE: We will refund Your $350.00 Damage deposit in full as long as You leave the condo neat and clean. We will of course have the town house cleaned after each stay. The cleaning service charges by the hour so as long as it is a normal cleaning, You will get Your Damage Deposit Refunded to you. To ensure you receive your full damage deposit refunded to you, Please complete the check out steps listed in the e-mail that will be sent to you with your entry instructions. Portable Hot tubs of any type are STRICTLY PROHIBITED inside or outside the unit.

__________ (initials here)


CANCELLATION: You may cancel your reservation up to 60 (90 days on holiday bookings) days prior to your arrival. (Please note on any services trade for rental or coupons. Cancellations will not be accepted and consider your coupon used up.) We charge a 20% charge (of total rent) for cancelled reservations. If you cancel within 60 (90 days on holiday bookings) days of your arrival, you will not receive any refund unless we are able to find new rental for your time slot. There may be a partial refund if we had to advertise or cut the rate. For peace of mind we recommend that you purchase trip cancellation insurance.
(initials here)

OWNER AGREES TO: Provide all utilities, local telephone service, kitchen equipment, linens and towels.


1. Conserve water and electric, leave the premises in the same order as found; to lock all windows and doors on departure and not to exceed the maximum people for sleeping accommodations provided. Do all things on check list.

2. The damage deposit will not be returned until the premises have been inspected following the RENTERS departure. If more than the above-numbered people are found to occupy the premises, or excessive clean up is required additional charges for linens and maid service will be levied against the RENTER and deducted from the Damage Deposit. Guests of the RENTER will be the responsibility of the RENTER. Such determination will be made at the discretion of the OWNER/AGENT.

3. The Damage Deposit, plus reasonable costs of collection including attorney fees, if necessary to collect the same.

4. The RENTER by providing Credit Card information has authorized DAN FLORIAN to charge RENTER'S MasterCard and or Visa amounts due in this contract.

S name and address (please print): __________________________________________________




Family Members and Guests (please list names and ages):

__________________ __________________ __________________

__________________ __________________ __________________

__________________ __________________ __________________

__________________ __________________ __________________




RENTER ____________________

(Please initial all pages)


OWNER/AGENT ________________

(Please initial all pages)