Pug Harbor Rental Application

Date of Application: _____________________________

Name: ________________________________________

Address: ______________________________________

Phone: _______________________________________

Fax: _________________________________________

Email: ________________________________________

Date wishing to rent: ____________________________

Name of all persons that will be staying on the property:

1._______________________________ 2._______________________________

3._______________________________ 4._______________________________

5._______________________________ 6._______________________________

7._______________________________ 8._______________________________

Check in time is: 1PM Saturday - Check out time is: 10AM Saturday

Mail to:
Ted and Patricia Hawco
1568 Mount Mercy Drive NW
Grand Rapids, MI 49504

Or Fax to:
616-791-8333 (please call this number before faxing)

Please make checks payable to: Ted and Patricia Hawco

Acceptance of rental agreement

Name: ________________________________________

Date: _________________________________________