FILL OUT THIS FORM AND FAX IT TO 858-549-4139

(OR COPY AND PASTE IT INTO YOUR EMAIL PROGRAM, FILL IN THE BLANKS,
AND EMAIL IT TO BIGBEARCABIN@HOTMAIL.COM)

We will need the following information for the agreement:

1) your full name: ______________________________________

2) your home address:_________________________________________(no PO boxes)

3) your home phone number:__________________________

4) your work phone number:__________________________

5) which cabin - Cozy or Big: __________ Nightly Rate:__________

5) method of payment - ___check or ____credit card (credit card gives faster
confirmation - your reservation is not final until we receive payment)

6) dates you wish to book - arrival date:____________

departure date:____________

7) your email address:______________________________________

8) number of adults:___________ number of children:_________ in your party

Please make sure to include all of these items since they are incorporated into and part of the agreement.

Thank you for considering our cabin. Please let me know if you have any questions.

FAX THIS FORM TO 858-549-4139