ELIGIBLE VETERAN:

• Disabled Veteran_________

“C” Number? Y___ N___

• Survivor of deceased disabled-veteran (Name Required)________________________

• Survivor of Veteran killed in action (Name Required) ________________________

• Veteran age 65 or older________________________

• Non-Veteran disabled ________________________

• Active Duty Military ________________________

• Able Bodied Veteran (can make reservations up to 30 days in advance of arrival _______________________

• Group ________________________

• Walk-in/Out of Focus ________________________

Will you need a wheelchair accessible cabin ?________________________

NOTE: If you choose a wheelchair accessible cabin (and do not need), we reserve the right to move you to another cabin if it is needed for any reason. We will not cancel your reservation.

NAME:        ____________________________________________________

ADDRESS: ____________________________________________________

CITY:_______________________STATE:_____ ZIP:____________

PHONE NUMBER: ____________________

Arrive on: ___________________Depart on: _____________________

Cabin#: _______ Willl you be eating any meals with us? If so Breakfast __yes. What days__? How many__.
                                                                                                       Supper    ___yes  What days__? How Many__.

_____# Adults: ____# Children

NO PETS!                                             How did you hear about us?__________________________________

Other:

• Our boat?              ____16’   ____14’

• Your boat?            ____(25HP restriction in BWCAW approximately 2 mile of Fall Lake)

• Rent our motor?   ____(we primarily have 15HP motors)

DEPOSIT    W/CREDIT CARD:     VISA     M/C     DISCOVER

Amount of Deposit ________________________(By night $50 or 50% of total Cabin by the week $250)

Card Number - - - Exp. Date____/____

NOTES: