Reservation Request Form

 

First Name: Last Name:

Mailing Address: City: State Zip:

Phone: (000)000-0000 E-mail Address:

Good Sam No.: Exp: Have you stayed with us before? Yes No

Date In: Date Out: Total Number of Days

Full Hook Up RV Site Water & Electric- RV Site

Tent 1 Room Camping Cabin 2 Room Camping Cabin 1 Room Cottage

RV Type: Motorhome 5th Wheel Travel Trailer Class A Size: Slides:Yes No

People 6 & younger? People 7 & older? How Many Cars? Extra Tents:

Credit Card Number: Exp: Visa Mastercard

Three Digit Security Code

Comments:

Complete this form, select all, copy and paste to new email message and submit to www capekiwanda@oregoncoast.com or fax to 503-965-6235.

If you have not heard back from us within 48 hours please contact our office at 503-965-6230. A 72-hour cancellation on all reservations. $10.00 non-refundable cancellation on all reservations.

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