Member Name*
Member Phone #
Today’s Date*
Guest Name
Estimated Arrival Time of Guest (s)
Guest Address
Cell Phone*
City
State
Zip
Home Phone
Email
**Each guest must fill out his/her own sheet with contact and payment information.**
Rm. 1 (1 Queen Bed)
Name
# Guests
Arrive
Depart
Rm. 2 (2 Twin Beds)
Name
# Guests
Arrive
Depart
Rm. 3 (1 Queen Bed)
Name
# Guests
Arrive
Depart
Rm. 4 (2 Queen Beds)
Name
# Guests
Arrive
Depart
Suite 4&5 (2 Queens 1 King)
Name
# Guests
Arrive
Depart
Rm. 5 (1 King Bed)
Name
# Guests
Arrive
Depart
Rm. 6 (1 King Bed)
Name
# Guests
Arrive
Depart
Rm. 7 (2 Queen Beds)
Name
# Guests
Arrive
Depart
Rm. 8 (1 King Bed)
Name
# Guests
Arrive
Depart
Rm. 9 (1 King Bed)
Name
# Guests
Arrive
Depart
Rm. 10 (1 King Bed)
Name
# Guests
Arrive
Depart
Rm. 11 (1 King Bed)
Name
# Guests
Arrive
Depart
Rm. 12 (2 Twin Beds)
Name
# Guests
Arrive
Depart
Check in time is 3 PM. Chek out time is Noon.
FEES & PAYMENT INFORMATIONCollapse
  • Fees are per night plus tax. Cots are available for children in rooms 3, 6, and 9 only for an additional $25 + tax each. Room rates include self-service continental breakfast, daily maid service and cable TV. There is no porter, elevator, valet service or room service. Lunch and dinner are available at the Grille and Mansion during posted hours. Dinner reservations are required.
Party responsible for payment/Name on credit card
Full Address on credit card
Email
Credit Card Type:
Credit Card Number
Exp. Date
Member Signature
Date
Guest Signature
Date
Submit