DIESEL FORWARD ROOM RESERVATION FORM

GUESTROOM RESERVATION REQUEST

Official Stay Dates: September 18-20, 2020

“To make a guestroom reservation, please complete the information below. A room block is being held until August 19, 2020, and rooms are on a space and rate available basis after this date. Also, please note that breakfast is not included in the room rates.”

DIESEL FORWARD ROOM RESERVATION FORM

FIRST & LAST NAME*
EMAIL ADDRESS*
PHONE NUMBER*
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
ARRIVAL DATE*

MM slash DD slash YYYY
DEPARTURE DATE*

MM slash DD slash YYYY
NUMBER OF ADULTS*
NUMBER OF CHILDREN (UP TO 12 YRS)*
SELECT A ROOM TYPE*
COMMENTS/SPECIAL REQUESTS
Consent*
By registering, you are agreeing to the Pacific Palms Resorts Privacy Policy and Terms of Use. Click on the links to review.
Phone

This field is for validation purposes and should be left unchanged.