Name: |
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Street Address and/or PO Box: |
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City: |
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State: Zip Code: |
Telephone Number:
Alternate Telephone Number:
Best time to reach you by phone:
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Email Address: |
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Anticipated Arrival Date: |
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Anticipated Departure Date: |
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Number of People in your Party: |
Adults: Adolescents: Children: Infants: |
Number of Bedrooms Needed: |
One Bedroom Two Bedroom Three Bedroom 2 - Two Bedroom units in a duplex Building Multiple Units |
Preferred Cottage (if known) |
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Second Choice Cottage (if known) |
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Linen Service (Daily Visitors Only): (Weekly Guests supply their own Linen.) |
Yes No |
Any Special Needs or Requests: |
Handicapped Accessibility No Stairs Boat Slip Port-A-Crib |
Comments, Concerns, Questions |
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