Lake Pemaquid Camping
Arrive: ___________________ Depart: __________________
No. of Nights: _____________
E-mail address: ___________________________________________
Home Phone : ( ____ ) _________________ Cell Phone: ( ____ ) _________________
Name: _________________________________________________________________
Mailing Address: _________________________________________________________
City: _________________________________ State: _______ Zip: ________________
License Plate: ____________________________ State: __________
No. Adults: ____________ No. of Children: _________ Dog/Pet(s): ________
How did you hear about us? ________________________________________________
Equipment Size: ________________
Hookups Desired: ____ Electric ____ Water ____ Sewer ____
Cabin/Cottage ____ RV ____ Trailer ____ Tent ____ Trailer Tent ____
Dock Space:_____________________ Boat Length____________ (ft)
Credit Cards: ____American Express ____Mastercard ____Visa ____Discover
Account
Number: _________________________________________________________
Signature: ______________________________________________________________
Date: ___________________
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