THIS FORM MUST BE COMPLETED FOR ALL LODGING REQUESTS. MEETING DEADLINE FOR SUBMISSIONS TO LODGE CHAIRPERSON IS 10PM (FIRM!)
Member's Name: E-Mail: Home Phone: Office Phone: Fax:
Guest #1 Name: Over 18? Guest #2 Name: Over 18?
Dates:(M/D/Y to M/D/Y) Total # of Nights:12345678910
Note: For Extended Holiday weekends (i.e. New Years 3 day Weekend) each night will be charged the weekend rates.
Payment Amount: Calculate your payment by using the Lodging Rates Chart
You and your guests can only use the Lodge once you have received confirmation from Maureen Lent By submitting this form, your reservation will be sent to Maureen Lent. ALL GUESTS to the lodge MUST BE ACCOMPANIED by a CLUB MEMBER. NO EXCEPTIONS!!