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________________                        

Rates
$1000/wk for up to 4 Persons
$50/wk for each extra person
Children under 2 free
Price Includes Tax

 

Names of Guests (4 guests at $1000/wk include ages of children over 2 yrs old, if applicable):

1._______________ 2._______________ 3._________________4._____________________________________

Name(s) of Children under 2 at no charge (if applicable): ____________   ____________

Additional Guests at $50/wk:________________  _______________  _________________  

_________________   _________________  _________________   ____________________
Overnight guests are allowed.  The rate is $10 per overnight guest per night payable at check-out.

                           Total Adults_________  Total Children_________                                                                              

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.

 

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