1010 BOULEVARD
SEASIDE HEIGHTS, N.J. 08751
TEL (732) 793-8711
FAX (732) 793-2330

 

 

RESERVATION CONTACT FORM

 

You can use this handy e-mail form to pre-book your reservation.  Please select your reservation dates and information below.  We will review your request within 24 hours.  If we cannot reach you, please call us at (732) 793-8711 for your reservation confirmation.  Also, feel free to call us for any other questions or concerns that you may have!

 

 Please provide the following contact information...

Salutation  
First Name

 

Last Name  
Street Address  
2nd Address  
City/Town  
State/Province  
Zip/Postal Code  
   
Home Phone  
Cell Phone  
Work Phone  
Fax  
E-mail  
   

Arrival Date

 

Departure Date

 

Room Type

 

Number of Rooms

 

Number of Adults

 

Number of Children

 

   
Best Method To Contact You  Home  Cell  Work  E-Mail
Best Time To Contact You  Morning  Daytime  Evening
   

Requests And/Or Comments:

 

 

By submitting this form...

I certify that I have read and do agree to all of the policies of The Coral Sands Motel.

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