Purple Fete, LLC 22 Perry Street 5A New York, NY 10014   http://www.purplefete.com RENTAL APPLICATION After submitting your application, we will apprise you of the availability of the property for the dates requested. Please provide a photocopy of your passport. Once your reservation is confirmed, we ask that a deposit be made within five days and the Rental Agreement be printed, signed, and returned with your deposit to: Purple Fete, LLC 22 Perry Street 5A New York, NY 10014 Upon receipt of payment, you will be sent a confirmation invoice, detailing the time of your trip and the rental details (any extras due in advance). Please read the Rental Agreement and property profile carefully before filling out this form. If you have any questions please call (646)270-5999, or email: info@purplefete.com. ============================================================= Name: _______________________________________________________________ Address: _____________________________________________________________ City: ________________________________   State: _______  Zip Code: ________ Phone Number Day: ___________________________________ Evening: ____________________________________________ Fax number: _________________________________________ Email: _______________________________________________ Will you be using Travel Insurance? Yes ________  No ________ Please write the name and address of each of the other travelers & their relation. 1. Name: ______________________________________________________________ Address: ____________________________________________________________ Relation: ____________________________________________________________ 2. Name: ______________________________________________________________ Address: ____________________________________________________________ Relation: ____________________________________________________________ 3. Name: ______________________________________________________________ Address: ____________________________________________________________ Relation: ____________________________________________________________ 4. Name: ______________________________________________________________ Address: ____________________________________________________________ Relation: ____________________________________________________________ 5. Name: ______________________________________________________________ Address: ____________________________________________________________ Relation: ____________________________________________________________ 6. Name: ______________________________________________________________ Address: ____________________________________________________________ Relation: ____________________________________________________________ If you have additional guests that you cannot fit in the provided space, please send an additional summary. If some guests are not staying the entire rental period, please indicate the dates of their arrival/departure. Property Name: _______________________________________________________ Rental Period: _________________________________________________________ Cost:$ _______________________ Deposit Due:$ _________________ NOTE: 50% of the rental is due within a week of confirmation of the rental application, and the balance is due within 8 weeks of arrival, as per the rental agreement. Agreement: I hereby certify, by submitting this form, that I am authorized to make this reservation on behalf of the persons stated above. I further certify that I have read, and agree to the terms of the Rental Agreement and property profile, and acknowledge that this forms a binding contract with Purple Fete LLC. _____________________________________________________________ Signature: ______________________________________ Date: