RESERVATION FORM

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Bev Mitchell

320 Gilbertville Rd.

New Braintree, MA. 01531

Name:__________________________________________________________________________________

Street:__________________________________________________________________________________

City/State:_______________________________________________________________________________

Zip Code:________________________________________________________________________________

Home Phone:_____________________________________________________________________________

Cell Phone:______________________________________________________________________________

Email:__________________________________________________________________________________

Gender preference:

_____male

_____female

_____no preference

Timing preference:

_____Spring _____Summer _____Fall _____ Winter

More info:_______________________________________________________________________________

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A deposit of $200.00 is required for a reservation. Deposits are nonrefundable but do not expire.