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RESERVATION FORM
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Name:
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Street address:
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City / state / zip:
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Phone #:
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E-mail address:
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Number of nights
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Date of arrival:
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Please call the campground directly for any of the following situations:
If date of arrival is less than 7 days from today, call campground directly to make your reservation.
If you want to make a reservation for Memorial Day Weekend or Labor Day Weekend, call the campground directly.
If you want to make reservations for more than one unit, call the campground directly.
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Unit length:
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Unit type (check one):
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Trailer
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Fifthwheel
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Motorhome
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Motorhome with tow vehicle
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Hookups:
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Full Hookup (electric, water, sewer)
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Electric & water
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Number of people:
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Adults age 18 and up
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Children age 12 thru 17
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Children age 3 thru 11
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Infants under age 3
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Amps:
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30 amp
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50 amp
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Slideouts?
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No slideouts
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Yes, I have slideout(s)
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1 slideout
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more than 1 slideout on 1 side
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more than 1 slideout on both sides
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Yes I have a Satellite Dish on my camper that I want to use.
Please place me on a non-wooded site so I can receive the satellite signal.
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I am securing my reservation with my credit card.
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I am mailing a $30 check for my deposit.
Yogi Bear's Jellystone Park
2940 Sussex Drive
Emporia, VA 23847
Note:
Memorial Day Weekend and Labor Day
Weekend: Call to make your reservation.
Additional deposit required; 3-night
minimum stay.
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MasterCard
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Visa
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Discover
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Credit Card #:
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Expiration Date:
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Verification number (last 3 numbers on back of card):
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List any discounts (Good Sam, AAA, Club Yogi, ...)
Membership card with a valid expiration date required.
Coupons required for special discounts.
Present coupons & membership cards during
registration.
Limit one discount per registration.
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Comments / questions:
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Check-in: 1 PM Check-out: Noon Additional fee for early arrival and late departure.
Reservations secured with a credit card: No fee has been has been charged to your credit card. Reservations
secured with a credit card are subject to the cancellation policy and administrative fees.
Cancellation Policy: Cancellation must be received by 5 PM , 2 days in advance of the date of arrival (30 days for
Memorial Day Weekend, Labor Day Weekend & group reservations).
Administrative fee: All reservations are subject to a $5 administrative fee (per site reserved) at time of cancellation.
No-shows and late cancellations forfeit deposit or security fee.
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Complete reservation form and
Print a copy for your records
Prior to submitting reservation.
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