Name

___________________________________________________

Address

___________________________________________________

City

_______________________

State

________

ZIP

_______

Phone

_______________________

Please reserve a ______ bedroom cottage for ______ persons.

We will arrive on the _____ of _________ .

And Leave on the _____ of _________ .

We will need: ___Extra Boat ___Motor ___Dock Space ___Crib

___High Chair ___________other

Please reserve a campsite for the nights of ________________________ .

We will need: ___Water ___Sewer ___Electric ___Boat ___Motor ___Dock

Signature _________________________________________ Date _________

Mail To:
3529 State 84 NE.
Longville, MN 56655