Lodge Information
Reservation Form
last updated: 2010-11-16 11:32:28

Please print this page, fill out the form and mail it along with your payment to

Dave Clark
1924 Hoag Rd.,
Warners, NY 13164
(315)-635-1686

General Information
Contact   Phone  
Arrival   Departure  
Member Information
Member 1 Member2
Name   Name  
Preferred Lodging
Private Room  Ladies Dorm   Men's Dorm
Preferred Lodging
Private Room  Ladies Dorm  Men's Dorm
Member 3 Member 4
Name   Name  
Preferred Lodging
Private Room  Ladies Dorm  Men's Dorm
Preferred Lodging
Private Room  Ladies Dorm  Men's Dorm
Reservation Restrictions
  • Any cancellations must be received before reserved dates, if not, a $5.00 charge will be assessed.
  • All reservation credits from cancellations must be used in the current membership year or they will be forfeited.

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