Name _________________________________________________
Address ______________________________________________
City ____________________________ State _________ ZIP ___________________
Phone: ____________________ FAX_______________________ E-mail ____________________________________
Arrival Date: ______________________
Departure Date: ___________________
Number of Adults ______ Number of children _______
Bed Configuration _____ Twins (2 max) ______ Twins (2 max) _____ Kings (1 max)
Pets? Yes No Type and Breed of Pet ____________________________________________________
($100.00 refundable deposit and $15.00 per day extra - $10.00 per day on weekly and monthly rentals)
$______ Night(s), Week(s), Month(s) x __________ per night/week/month = $_______________
Pet deposit and daily rate
Total Amount Due ________________________
Address ______________________________________________
City ____________________________ State _________ ZIP ___________________
Phone: ____________________ FAX_______________________ E-mail ____________________________________
Arrival Date: ______________________
Departure Date: ___________________
Number of Adults ______ Number of children _______
Bed Configuration _____ Twins (2 max) ______ Twins (2 max) _____ Kings (1 max)
Pets? Yes No Type and Breed of Pet ____________________________________________________
($100.00 refundable deposit and $15.00 per day extra - $10.00 per day on weekly and monthly rentals)
$______ Night(s), Week(s), Month(s) x __________ per night/week/month = $_______________
Pet deposit and daily rate
Total Amount Due ________________________
11% Sales and County Tax
Deposit Due (Daily rental - one night deposit, Weekly rental 1/2 deposit, Monthly Rental 1/4 deposit)
Check or Money Order made payable to Birch Haven
Special Requests ____________________________________________________________________________________________________
____________________________________________________________________________________________________
I agree to maintain the cottage in a responsible manner and any damages to the home or property will be the responsibility
of the rentor.
_______________________________________________ _______________________
Rentor Date
Please return to:
Kathy McCarthy
c/o Birch Haven
10321 Country Lane
Sister Bay, WI 54234
Deposit Due (Daily rental - one night deposit, Weekly rental 1/2 deposit, Monthly Rental 1/4 deposit)
Check or Money Order made payable to Birch Haven
Special Requests ____________________________________________________________________________________________________
____________________________________________________________________________________________________
I agree to maintain the cottage in a responsible manner and any damages to the home or property will be the responsibility
of the rentor.
_______________________________________________ _______________________
Rentor Date
Please return to:
Kathy McCarthy
c/o Birch Haven
10321 Country Lane
Sister Bay, WI 54234
Thank you for choosing Birch Haven for your home away from home. We look forward to having you as our guest. Please
complete this form and e-mail to consult1@attglobal.net. We will get back to you within 24 hours to confirm your
reservation. Click Here for our availability calendar. Questions? Call 480.239.3903. Please note that Birch Haven does not
allow smoking inside the cottage. Thank you!
complete this form and e-mail to consult1@attglobal.net. We will get back to you within 24 hours to confirm your
reservation. Click Here for our availability calendar. Questions? Call 480.239.3903. Please note that Birch Haven does not
allow smoking inside the cottage. Thank you!
Reservation Form