| Name: |
|
_________________________ |
| Street
Address: |
|
___________________________________ |
| City: |
|
___________________________________ |
| State
or Province: |
|
___________________________________ |
| Postal
or Zip Code: |
|
____________ |
| Home
Phone: |
|
( ___ ) -
_____________ |
| Daytime
Phone |
|
( ___ ) -
_____________ |
| Accommodations: |
|
Cottage
/
Camping
(Please Circle) |
| Requested
Dates ( MM/DD/YY ): |
|
From Sat.
_______________ |
|
|
to Sat. _______________ |
| Number
of Persons: |
|
___
Adults ___
Children |
| Number
of Bedrooms : |
|
___ |
| I
Require: |
|
___
Boat(s) |
|
|
___
Motor(s) |
|
|
___
Horse Power |
| Dock
Space for own Boat : |
|
Yes
/ No ( Please Circle ) |
| Other
Requirements: |
|
________________________________________ |
|
|
________________________________________ |
|
|
________________________________________ |
| Cottage
Deposit Enclosed: |
|
$___________ |
| Camping
Deposit Enclosed: |
|
$___________ |
| For
NEW QUESTS ONLY: |
|
I learned
about Tower Manor Lodge from ..... |
|
|
__________________________________________ |
