MERLIN PLACE HØSTFEST RESERVATION FORM

OCTOBER 2-5, 2008

Name: ___________________________________________________________

Address: _________________________________________________________

City: __________________________________ State: ___________ Zip _______

Phone: ________________________ Cell: ___________________________________

Roommate: _______________________________________________

Traveling conpanions: _________________________________________

__________________________________________________________________

Circle tentative pick up location:   Eau Claire        Menomonie       Baldwin         Hudson          Twin Cities

Send $100.00 per person deposit to:

Call us at 507-359-3111 if you need assistance!

e-mail us: ppwend@newulmtel.net