HILLCREST BAPTIST CAMP & RETREAT CENTER RESERVATION FORM
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HBCA   Hillcrest Baptist Camp-Assembly, Inc.    Web Reservation Form
R.F.D. 1, Box 254-A  Cave in Rock, IL  62919
Phone: 618-289-3036                                      
EVENT DATE:_____________
                                              TODAY'S DATE:___________

ORGANIZATION NAME:__________________________________________

MAILING ADDRESS:_____________________________________________

CITY:__________________________ STATE:_________ ZIP:____________

PHONE:_________________ CONTACT PERSON:_____________________

CELL:________________FAX:______________EMAIL:_________________
RESERVATION: On confirmation of a deposit of $_________(AMOUNT) due    
 within ten (10) working days for________( # OF PEOPLE) reservations for:

ARRIVAL DATE:______________ DEPARTURE DATE:__________________

ARRIVAL TIME:______________ DEPARTURE TIME:___________________

KITCHEN:_______ FIRST MEAL__________ LAST MEAL________________

GROUP WILL BE COMPOSED OF: Children______Youth_____Men______
Ladies________  Mixed Adults_______ USE OF TABERNACLE__________
THIS FORM MUST BE COMPLETELY FILLED OUT & ACCOMPANIED WITH        
 DEPOSIT FOR THE EVENT TO BE CONFIRMED!
BALANCE OF INVOICE IS DUE BY CLOSE OF THE EVENT.
I UNDERSTAND THAT ACCORDING TO ILLINOIS STATE REGULATIONS WE        
 NEED CAMP GROUP LEADER____, ILLINOIS CERTIFIED NURSE &                    
  COOK____.

LEADER'S PLANNING GUIDE & ABOVE STATEMENTS HAVE BEEN READ &        
 POLICIES WILL BE ADHERED TO BY OUR GROUP._______________________
                                                                              SIGNATURE OF GROUP LEADER
YOU HAVE 10 WORKING DAYS TO GET THIS FORM & REQUIRED DEPOSIT
BACK TO US. AFTER   THAT TIME, THE DATE WILL BE OPENED TO OTHER
GROUPS THAT MAY BE WAITING.

SIGNED:____________________________________DATE:_____________
PASTOR OR PERSON AUTHORIZED TO MAKE COMMITMENT

SIGNED:____________________________________DATE:_____________
GROUP LEADER
For reservations call our office to check the availability of your preferred
event date.  Then
print this Reservation Form and send to our office along
with a deposit ($4.00 per person per day) to confirm your reservation.  The
phone number and address are on top of the form.
Please fill out this form