Reservation Request Form

For Robert Johnson Rental Homes

Thank you for visiting our WEB site. To request a Home Rental Reservation, please enter the needed information on the following form. You can submit the form by clicking on the button below, or you can print out the form and FAX it to 815-777-3821, or call us at 815-777-9777. After we receive your request we will promptly get back to you.


Name:                         

Address:                      

City:                         

State/Province:               

Zip/Postal Code:              

Day time Phone:               

Night time Phone:             

Your Fax:                     

Your E-Mail Address:          

Arrival Date:                 

Departure Date:               

Total Number of Guests:       

Number of Bedrooms:           

House Requested:              

Special Requirements:


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