39209 Back O Moon Rd. ~ Grand Rapids, MN 55744

218-326-8648 or 800-344-4038

Name:__________________________
Enclosed is $200 deposit per week for
 
Cabin # 2 3 4 5 6 or $300 for Cabin #1
Address:________________________
(please circle cabin #)
 
Are you bringing your own boat?
City:___________________________
Yes:_______ No:_______
 
Pontoon Rental? Yes:___ No:___
State:___________ Zip:____________
Motor Rental? Yes:___ No:___
 
Extra Dock Space? Yes:___No:___
Phone:__________________________
Pet? ______ How many? ____
 
 
E-mail:__________________________
WE ACCEPT VISA OR MASTERCARD
 
 
Number of people in your party?______
Card #________________________
 
Exp. Date:_________
Names of all people in your party:
 
_______________________________
Cancellation Policy: You will receive
_______________________________
a full refund IF your reserved 
_______________________________
time is re-rented
_______________________________
 
# of children:________ Ages:________
How did you find us? ____________________
 
 
Arrival date:_____________________
Check in: 2:00 p.m. 
 
Check Out: 9:00 a.m.
Departure date:___________________
Please call if you plan to arrive later than 5:00 p.m.