RESERVATION FORM

PLEASE COMPLETE ENTIRE FORM TO ENSURE PROPER PROCESSING OF RESERVATION

NAME #1: AGE:

ADDRESS #1:CITY ZIP   E-MAIL:

HOME PHONE #1:        CEL #1:

NAME #2:   AGE:

ADDRESS #2:CITY  ZIP   E-MAIL:

HOME PHONE#2:   CEL #2:

NUMBER OF ADULTS:   NUMBER OF CHILDREN:   

DURATION OF STAY:     ARRIVAL:     DEPARTURE:   TOTAL NIGHTS:

Select Cabin:   Black Pine Cabin Fox Fire Cabin

PAYMENT METHOD:

PAY PAL - GO BACK TO RESERVATION PAGE  AND PROCESS PAYMENT

CASH ON ARRIVAL - MUST PRE-PAY 1 NIGHT  IN ADVANCE

CHECK IN ADVANCE - CHECK NEEDS TO ARRIVE  WEEKS IN ADVANCE OF ARRIVAL DATE

  COUPON REDEMPTION

  GIFT CERTIFICATE REDEMPTION - PLEASE SELECT THE NUMBER OF DAYS ON THE CERTIFICATE (REMAINING DAYS MUST BE PAID BY OTHER METHOD ABOVE)

1 DAY 2 DAYS 3 DAYS 4 DAYS 5 OR MORE DAYS

VEHICLE INFORMATION:

MAKE:   MODEL:   LICENSE PLATE:

Comments and Questions

Attention!!!     When you submit your form, 2 message boxes will appear

Box #1 - States that Black Pine Cabin Rentals will receive your email address. Black Pine  Ent.  will not

share your information with any other parties, it is ok to continue.

 

Box #2 - States that an email is being sent on your behalf. This is a security measure to prevent hacking.

You are NOT BEING HACKED, it is ok to continue. Without continuing your form will not be sent properly.

 

   

 

FOR OFFICE USE ONLY - DO NOT COMPLETE THIS PORTION OF THE FORM

By signing above I agree to all charges mentioned above associated with Black Pine Cabin Rentals.  I understand that any damages or charges that may occur during my stay in access to the amount paid above will be charged to me by invoice within 2 weeks of my departure with a full description of the nature of the charges.