VON DEN BROOKFIELDS
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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:_______________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
A deposit of $200.00 is required for a reservation. Deposits are nonrefundable but do not expire.