Lodging Pre Registration – Summersville Lake Retreat & Lighthouse

Lodging Pre Registration

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone (Home)*
Phone (Cell)
Lodging Information
Lodging Preference
- Cabin
- RV
- Tent
Arrival Date*
MM slash DD slash YYYY
EST. Time of Arrival*

: Hours

Minutes
Departure Date*
MM slash DD slash YYYY
Total Number in Party*
Adults
Chidren (7-17)
Children (0-6)
Number of Pets
Breed
License and Vehicle Information
Driver License Number*
State*
State
Vehicle: Color/Make/Model
License Plate Number
Rig Size & Make and Model
Extra Vehicle: Color/Make/Model
Extra Vehicle License Plate Number
Boat/Trailer: Color/Make/Model
How did you find us?
Discount/ID: (AAA,Good Sam, Senior, Active Military, SLR Mug)
Notes or Comments