RESERVATION REQUEST FORM                 RECEIVED ____________

NAME: FIRST______________________ LAST______________________________

ADDRESS: STREET_____________________________________________________

CITY______________________________________ STATE______ ZIP___________

PHONE NUMBER______________________________________________________

NUMBER OF SITES REQUESTED:___________ ( WE CANNOT GUARANTEE THAT GROUPS OF MORE THAN 4 UNITS WILL BE TOGETHER. WE WILL MAKE EVERY EFFORT TO GET SITES CLOSE TOGETHER).

TYPE OF EQUIPMENT [TRAVEL TRAILER, MOTOR HOME, TENT, ETC.]

____________________________________  LENGTH ________________________ 

DATES: ARRIVAL_____________________ DEPARTURE_____________________

Check in time starts after 8:00am. Check out time is 4:00pm.

HOOK-UPS: [CHECK] NO HOOK-UP______ ELECTRIC______ WATER______

SEWER______  50 AMP______ CABLE_____

DEPOSIT [MINIMUM OF $60.00 PER SITE ]:________________We do not accept credit cards

REQUESTS:( PLEASE NOTE: SITES ARE ASSIGNED AT THE DISCRETION OF THE OFFICE. EVERY ATTEMPT IS MADE TO FULFILL YOUR REQUEST, HOWEVER, SOMETIMES IT IS NOT POSSIBLE.)___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

SIGNATURE_________________________ REQUIRED          ______________________________

  BY SIGNING THIS FORM YOU ACKNOWLEDGE YOU HAVE READ AND UNDERSTAND OUR POLICY AS STATED BELOW.

RESERVATION POLICY: [PLEASE READ CAREFULLY] RESERVATIONS CAN ONLY BE SUBMITTED THROUGH THE MAIL OR IN PERSON. ONCE YOU SUBMIT A REQUEST FOR RESERVATIONS, WE WILL FILL OUT A CONFORMATION SLIP AND SEND IT RETURN MAIL. WE ALLOW ONE FAMILY PER SITE (HUSBAND, WIFE, UNMARRIED CHILDREN). A RESERVATION ONLY GUARANTEES A SITE LOCATED SOMEWHERE IN THE PARK WITH THE MINIMUM OF ELECTRIC AND WATER HOOKUP. WATERFRONT, SHADE, PULL-THRUS MAY BE REQUESTED BUT ARE NOT GUARANTEED. WE HAVE A TWO WEEK CANCELLATION POLICY. YOU MUST CANCEL AT LEAST TWO WEEKS BEFORE YOUR ARRIVAL DATE TO RECEIVE A REFUND ON YOUR DEPOSIT.  SOME OF OUR SITES MAY REQUIRE ADDITIONAL ELECTRICAL ADAPTERS, EXTENSION CORDS, AND WATER HOSE. WE SELL THESE ITEMS ON AN AVAILABILITY BASIS. WE DO NOT RENT OR LEND THESE ITEMS. 

TOM’S COVE PARK P.O. BOX 122   CHINCOTEAGUE, VA. 23336   757-336-6498