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Eddy Farm Reservation Request Form
THIS IS NOT A CONTRACT. Please fill this form to make booking request. Thank you for staying with Eddy Farm.
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* Indicates required question
Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
Group Name
*
Your answer
Phone
Your answer
Pastor/Leader Name
*
Your answer
Group Address
*
Your answer
Coordinator Name
*
Your answer
Title/Position
Your answer
Home Address
Your answer
Home Phone
Your answer
Email Address
Your answer
Cell
Your answer
Website
Your answer
Type of Event
*
Church Retreat
Conference
Seminar
Wedding
Baptizing Ceremony
Women's Retreat
Men's Retreat
Boys' Retreat
Girls' Retreat
Other:
Required
Check-in Date First Choice
*
MM
/
DD
/
YYYY
Check-in Date Second Choice
MM
/
DD
/
YYYY
Check-out Date
*
MM
/
DD
/
YYYY
Number of Adults(over 9)
1
2
3
Other:
Number of Babies(under 5）
1
2
3
Other:
Number of Children (5-9）
1
2
3
Other:
Number of Standard Single Rooms
1
2
3
Other:
Number of Deluxe Single Rooms
1
2
3
Other:
Number of Regular Single Rooms w/shared Baths
1
2
3
Other:
Number of Conference Rooms
1
2
3
Other:
Number of Small Meeting Rooms
1
2
3
Other:
Other Requests
Your answer
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