Reservations—Doane Rest

Reservations

Reservation Form

Contact Information:
Name*
Address*
Email*
Phone #*
Please indicate your current status, church and/or mission affiliation:
Select One*	Missionary Pastor Neither
Chuch/Mission*
What is the purpose of your visit to Doane Rest?
Purpose*
Please indicate your desired vacation/retreat dates:
Date of Arrival*
Departure Date*
How many are in your group?
Adults (over 12)*
Children*
Which cottage do you prefer?
Select One*	Apartment (1 bedroom) Deluxe Apartment (1.5 bedroom) Premium Cottage (2 bedroom) Family Cottage (3 bedroom)
Would you like firewood stocked at your cottage?
Select One*	Yes—1 Load ($10.00) Yes—1/2 Load ($5.00) No—Thank You
Who referred you to Doane Rest? How did you hear about us?
Reference*
Please make requests/comments here (need a port-a-crib or hi-chair?)
Comments

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