RESERVATION FORM

Name:
Street Address:
Apt or Bldg No.:
City:
State: Zip:
Home #: Cell #:

Number of Persons in Party:

(under 3 years old free)

Arrival Date/Time:
Departure Date:

Deposit Enclosed $

$50 for 1-2 nights, $100 for 3 or more nights

(TO CONFIRM THE RESERVATION)

Make Checks Payable To

High Ridge Cabins

Print This Page and Mail To

High Ridge Cabins

9100 Cabin Lane SW

Mauckport, IN 47142

(812) 732-8802