Instructions: Fill out completely and e-mail to guesthouses@comcast.net .

For both Guesthouse and Fishel Cottage requests:

NAME:_______________________________________________________________________

ADDRESS:____________________________________________________________________

TELEPHONE NUMBER: ______________________________

E-MAIL: __________________________________

RESIDENTIAL USE? YES ___ NO ___    BUSINESS USE?* YES ___ NO ___

*If "yes", describe use __________________________________________________________________________

SPECIAL FURNISHING NEEDS __________________________________________________________________

LENGTH OF STAY _____ STARTING DATE _____ ENDING DATE _____

NUMBER OF PERSONS STAYING  _____

NUMBER OF MOTOR VEHICLES USING PARKING LOT _____

 REQUESTING CHURCH STREET GUESTHOUSE (Check all that apply):

• Entire Guesthouse ___
• First Floor only (all rooms) ___
• First Floor Bedroom/Full Bath ___
• First Floor Dining Room/Office ___
• First Floor Front Room/Parlor ___
• First Floor Kitchen ___
• Second Floor only (all bedrooms) ___
• Second Floor Bedroom 1 (King Bed) ___
• Second Floor Bedroom 2 (Full Bed) ___
• Second Floor Bedroom 3 (Full Bed) ___
• Second Floor Bedroom 4 (Murphy Bed) ___

USE OF LAUNDRY ROOM REQUESTED? YES _____ NO _____

USE OF RECREATION ROOM REQUESTED? YES _____ NO _____

USE OF ATTIC ROOM REQUESTED? YES _____ NO _____

REQUESTING FISHEL COTTAGE (check here) _____

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