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Print out this form and mail your completed form to:

Chestnut Hunting Lodge
525 Chestnut Hunting Lodge Drive
Taylorsville, NC 28681

Please fill in all blanks on reservation form as all information is needed for our files and also will help us make necessary arrangements for your stay with us. If there should be any changes (in number of people, etc.) after the completed form is sent to us, contact us as soon as possible.

FILL IN - SIGN - RETURN WITH A DEPOSIT OF $100.00 PER PERSON
(no return on deposit)

Reservation Blank
Date		Deposit
Name
Address
City, State, Zip
Phone #
Number of Persons in my Party
Number of Persons Hunting in my Party
Will Arrive: Month______ Day____			________AM ________PM
Will Depart: Month______ Day____			________AM ________PM
Type of Weapon:
Muzzle Loader	Rifle	Bow	Pistol
I desire to Hunt: List Species of Game
Species:
Sign Here:

DEPOSIT WILL BE DEDUCTED FROM YOUR HUNT:
Thanking you in advance, the personnel of Chestnut Hunting Lodge will do everything in its power to see that you, the hunter and customer, have a most exciting and enjoyable hunt. Hunters seeing their game and not choosing to shoot $200 per day. Ground fee for Non-Hunters $200.00. Call before booking non-hunters. We accept Mastercard, Visa & Discover. Good hunting from Chestnut.