| Name: |
|
_________________________ |
| Street
Address: |
|
___________________________________ |
| City: |
|
___________________________________ |
| State
or Province: |
|
___________________________________ |
| Postal
or Zip Code: |
|
____________ |
| Home
Phone: |
|
( ___ ) -
_____________ |
| Daytime
Phone |
|
( ___ ) -
_____________ |
| Email Address: |
|
_________________________ |
| Accommodation: |
|
Cottages:
1 bedroom, 2 bedroom, 3 bedroom, Luxury Apt., Trailer Rental or Trailer Site
/ (Please Circle) |
| Linen
Required: |
|
Yes
/ No (Please Circle) |
| Requested
Dates ( MM/DD/YY ): |
|
From
_______________ |
|
|
to _______________ |
| Total number of
Nights: |
|
____ |
| Number
of Persons: |
|
____
( 2 years and older) |
| I
would like: |
|
____
Boat(s) 14ft / 9.9hp
____ Boat(s) 15ft / 40hp
____ Boat 16ft / 20hp
____ Pontoon Boat |
| Dock
Space for own Boat : |
|
Yes
/ No ( Please Circle ) |
| Other
Requirements: |
|
_____________________________________________ |
|
|
_____________________________________________ |
|
|
_____________________________________________ |
| Boat
Deposit Enclosed: |
|
$___________ |
| Cottage
Deposit Enclosed: |
|
$___________ |
| Camping
Deposit Enclosed: |
|
$___________ |
| For
NEW QUESTS ONLY: |
|
I
found out about Lang's Resort from ..... |
|
|
_________________________________________ |
|
If it is more convenient you can phone in your enquiry at
1- 800- 898-4955 or email at info@langsresort.com
"
|