Al, Carol, Jason and Missy De Kruif

24102 Greenland Rd. - Madison Lake, MN 56063 Phone (507) 267-4000 Fax (507)267-4002

Date_______________

Application for Mobile Home or Camper/RV Placement

Name of applicants________________________________________________________

Address_________________________________________________________________

 

City_________________________________________State__________Zip__________

 

Summer Phone ______________________________

 

Winter Phone/Address_____________________________________________________

 

Names and ages of children or family members who will be using resort:

 

 

Unit description: Circle one: Mobile home R.V. Camper 5^th Wheel 

 

Brand name____________________________Year__________Size__________X_____

References along with phone numbers:

 

1)______________________________________________________________________

 

2)______________________________________________________________________

 

What park or resort did you reside at in the past?_________________________________

 

Address_______________________________________Phone_____________________

 

Credit Information: Are you currently employed?     Yes    No    Retired

 

Employer________________________________________________________________

 

Address__________________________________________Phone__________________

 

Name of Bank__________________________________Contact____________________

 

Address__________________________________________Phone__________________

 

Where did you hear about Sakatah Trail Resort?_________________________________