If your reservation has been confirmed you may copy and print the Rental Agreement below.
Send with your downpayment to: Jeanne Jacak, Heaven on Shawano, N989 Boltonville Road,
Random Lake, Wisconsin 53075.

Rental Agreement

Name______________________________________________________________________________________

Street Address_______________________________________City______________State_______ Zip_________

Home Phone___________________________________Cell Phone_____________________________________

Email Address_______________________________________________________________________________

Date of Arrival________________________________Date of Departure_________________________________                        

Names of Guests (Four guests $1,000/wk)

1.______________________________________ 2.___________________________________                                

3.______________________________________ 4.___________________________________                              

Additional Guests @ $50/wk

5.______________________________________6.___________________________________

7.______________________________________8.___________________________________                           

I have read the Rental Information on the website and agree to rental terms and conditions. 

Guests's Signature_________________________________  Date_______________________

 Please return this form to us with your down payment of $200.