Address:__________________________________

City:_____________________________________

State:_______________ Zip__________________

Day Phone:________________________________

Evening Phone:_____________________________

Email:____________________________________

Names of Others In Cabin:____________________

________________________________________

________________________________________

________________________________________

________________________________________

Children & Ages:___________________________

________________________________________ 

________________________________________

Arrival                                Departure
Date:______________ Date:________________

QUESTIONS? 
Call us at 1-800-272-2338 or email us at
stay@northlandlodge.com

Please reserve my Free:   16' Boat    or    Dock Space
        (Please circle one - Only Applies to Weekly Cabin Rentals)

If you are bringing your own boat please provide the type and length of watercraft you are bringing.  For example: a 21' pontoon or a
17' Lund ProV Boat.  THANKS!_______________________________

Xtra Dock Space(# of spaces):__________________

# of Rental Motor(s) Needed:_______
(call for availability)

# of Xtra 16' Boat(s) Needed: _______
(dcall for availability)
 

18' Lund w/ 25hp motor:_______
(call for availability)
 

18' Lund Alaskan w/ 50hp motor:_______
 (call for availability)
 

20' Lund Alaskan w/ 75hp motor:_______
 (call for availability)
 

28' Pontoon w/60hp motor:______
 (call for availability)

Porta-Crib______

TOTAL DEPOSIT:

$_____________________________________
VISA, MasterCard, Cashiers Check, Personal Checks, & Money Orders Accepted.  Please do not send cash.

Credit Card #:______________________________

Card Type & Exp Date:_______________________

Name As Printed On
Card:_____________________________________

I have read and agree to the reservation policies as stated.

SIGNATURE:_______________________________ Reservation is not confirmed until signed form & deposit are received.