Stony Brook Chalets & Motel
Information Request Form

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Requesting Information For:
Chalet/Cabin & Motel Motel Only Chalet/Cabin Only

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Individual Couple Family Group
Type Group: None Family School Church Business Pleasure Convention Other in Comments

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Number of Nights: 2 Nights 3 Nights 4 Nights 5 Nights 6 Nights 7 Nights 8+ in Comments Number of Units: 1 Unit2 Units3 Units4 Units + Units in Comments

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Type of Chalet/Cabin Unit Prefered:
Click Down Arrow For Selection>>>>>> Honeymoon Cabin One Bedroom Unit Two Bedroom Unit Three Bedroom Unit Four Bedroom 4+ In Comments

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Type of MotelUnit Prefered:
Click Down Arrow For Selection>>>>>> Room w/2 Queens Room w/King Bed Fireplace w/2 Queens Fireplace w/King Bed

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Smoking: Yes No Either

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No. of People per Unit/Room
Maximum 4
Adults: 1 Adult 2 Adults3 Adults4 Adults Children : None 1 Child2 Children3 Children 4 Children

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Arrival: JanFebMar AprMayJuneJulyAugSept OctNovDec 12345 678910111213 1415161718192021 22232425262728 293031 20022003 ----- Departure: JanFebMar AprMayJuneJulyAugSept OctNovDec 12345 678910111213 1415161718192021 22232425262728 293031 20022003

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Please Send Availability and Rates by E-Mail
Please Send Brochure, Rates and Availability by U.S. Mail
Please Send Brochure Only

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CONTACT INFORMATION
Email Address
First Name Last Name
Street Address
City State Zip
Telephone Number Fax Number
Group or Company Name (if applicable)

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Comments and Additional Information: