Address:________________________

City:___________________________

State:________Zip_____________

Phone:__________________________

Email:__________________________
 

Names of All Staying In Cabin & Ages 
(for adults just put "A")

1.____________________________

2.____________________________

3.____________________________

4.____________________________

5.____________________________

6.____________________________

7.____________________________

8.____________________________

9.____________________________

10.___________________________

QUESTIONS?  Call us at 1-866-878-0101 or 218-832-3556 or email us at reservations@rockyshoresresort.com

RV Site #:_____

Arrival Date:___________

Departure Date:_________

We will be bringing ____ boats
and ____ motors.

We need:

_____Dock  Spaces 

_____16' Lund Boats with 15 hp Motors

_____CRESTLINER 17' SuperHawk with 115 hp  Johnson Motor

CABIN DEPOSIT: $____________

RV Site DEPOSIT: $____________

VISA, MasterCard, Cashiers Check, Personal Checks and Money Orders. Accepted. Please don't send cash.

Credit Card Number: __________________________ 

Card Type (circle one) & Expiration Date:
VISA / MasterCard     ____/______

Name As Printed On Card: ____________________________

I agree to the reservation policy as stated.

SIGNATURE:__________________
Reservation is not confirmed until signed form and deposit are received.