Please complete this simple application for consideration in renting the Lazy Log Inn. Be assured that we treat this information as confidential and do not share it with any person or company.

Understand that this is our home rather than a motel and it contains many things that could be broken or stolen. We use the information that you provide in deciding whether or not to rent to you. If you are uncomfortable sending this information over the internet you may fax it instead.

Once your application is approved we will send you a rental agreement confirming your reservation. Please do NOT send any money to us until you receive a rental agreement.

 

Name:

Street:

City:

State:

Zip:

Date of Birth:

Home Phone:

Work Phone:

Fax:

Email:

Employer:  

Drivers License #:

 

State Licensed:

 

Make of Car:

 

Model:

 

Year:

 

Property Requested:   Lazy Log Inn

Arrival Date:

 

Departure Date:

 

Total Number in Party:

 

Number in Party under age 3:

 

 

 

Comments:

 

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