Located on the Seaside Heights Boardwalk
SAND AND SURF MOTEL
1201 Ocean Terrace
Seaside Heights, NJ 08751
PH: 732-793-7311 • FAX: 732-793-7375
E-mail: sandandsurfmotel@aol.com
www.sandandsurfmotel.com
Open May 14, 2010 to October 10, 2010

Reservation Request Form for the Sand and Surf Motel, Seaside Heights, NJ

Please fill out the form below, and we'll review your request and get back to you soon for confirmation. In order for us to best serve you, please make sure ALL fields are completely filled out.

This form is only a request from you. We will contact you to confirm the information and complete your reservation.

Thank You for your request!

Reservation Request Form
NAME *Required
ADDRESS
CITY STATE ZIP 
TELEPHONE *Required for confirmation


BEST TIME TO CALL

E-MAIL ADDRESS *Required
CHECK-IN DATE
NO. OF NIGHTS
IS THIS FOR A
*Required
Please Choose One FAMILY  GROUP  PROM
NO. OF ADULTS 
CHILDREN (Under 18)
PLEASE LIST NAMES AND AGES OF CHILDREN: NAME: AGE:
NAME: AGE:
NAME: AGE:
NAME: AGE:
NAME: AGE:
NAME: AGE:
ROOM TYPE
COMMENTS
SUBMIT RESERVATION REQUEST

This form is only a request from you. We will contact you to confirm the information and complete your reservation.

Thank You for your request!

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