| Preferred Start Date: | OR | |||||
| Preferred End Date: | ||||||
| Number of Adults | ||||||
| Number of Children: | ||||||
| Your First Name: | ||||||
| Your Last Name: | ||||||
| Mailing Address: | ||||||
| City: | ||||||
| State or Province : | ||||||
| Zip Code or Postal Code: | ||||||
| Country: | ||||||
| Daytime Phone: | ||||||
| Evening Phone: | ||||||
| E-mail Address: | (Example: [email protected] - please try to be accurate-if your email address is incorrect, we may not be able to reach you) | |||||
| Are there smokers in your party?: | 
 | |||||
| Do You Plan to Bring Pets?: | 
 | If Yes, then | How Many?: | |||
| Do You Plan to Bring a Boat?: | 
 | If Yes then | What size?: And What weight?: | |||
| We are Interested in Cottage(s): | 
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