NAME ____________________
ADDRESS
_____________________________________
_____________________________________
_____________________________________
_____________________________________
PHONE_____________________
CELL_______________________
E-MAIL____________________________
WEEK(S) RESERVED_____________________
FROM_____________________ to __________________________
COTTAGE #_____________________
Number of people staying in cottage:
ADULTS_____________________
CHILDREN_____________________AGES:______________
(17 yrs. and under)