RESERVATION FORM

Name:
Street Address:
Apt or Bldg No.:
City:
State: Zip:
Contact phone #:

Number of Persons in Party:

Arrival Date/Time:
Departure Date:

Call with Credit Card for Deposit or Mail 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