Registration Form

First Name:
Last Name:
# of Adults:		#of Children:
Street Address:
City:			Postal Code:
Phone #:
Email:
Fax #:
THIS YEAR Unit #:	Dates Stayed:
PREFERENCES:
# of Weeks:			Boat Moorage:	YES NO
1st Choice of Unit:	1st Choice of Dates:
2nd Choice of Unit:	2nd Choice of Dates:
How many years have you been coming to Seclusion Bay?
Comments:
This is only a request form. Confirmation and availability will be provided by return e-mail.