Lodge Reservation Payment Form
Please print this page, fill out the form and mail it along with your payment to:
Dave Clark
1924 Hoag Rd.,
Warners, NY 13164
Contact Person:
Evening Phone:
Arrival Date:
Departure Date:
Member Information
Member 1
Member 2
Name:
Name:
Preferred Lodging:
Private Room
Ladies Dorm
Men's Dorm
Preferred Lodging:
Private Room
Ladies Dorm
Men's Dorm
Member 3
Member 4
Name:
Name:
Preferred Lodging:
Private Room
Ladies Dorm
Men's Dorm
Preferred Lodging:
Private Room
Ladies Dorm
Men's Dorm
Reservation Restrictions:
Any cancellations must be received before reserved dates, if not, a $5.00 charge will be assessed.
All reservation credits from cancellations must be used in the current membership year or they will be forfeited.