PIKE LAKE GOLF CENTRE LIMITEDSeasonal Camping Agreement • January 16th, 2020
Contract Type FiledJanuary 16th, 2020Seasonal Camper Information Has your information changed? ❑ YES ❑ NO Name: Home Phone: Name: Cell Phone: Email Address: Work Phone: PO Box/Street: City: Province: ON Postal Code: Emergency Contact: Emergency Contact Phone: I consent to receive correspondence (invoices, bulletins, newsletters etc.) by email: ❑ YES ❑ NO Trailer Information Required by MPAC Propane Inspection Date: SIZE OF Trailer: Deck: Added Room: Shed: Make & Model: Year: Own 100lb Tank: ❑ YES ❑ NO My trailer at Pike Lake Golf Centre Limited is insured: ❑ YES See Section F* Number of 100lb Rental Tanks: See Section U* Golf Cart Information See Section N* Pontoon Boat Information See Section F* I have my own golf cart at Pike Lake and it is insured: ❑ YES I have my own pontoon boat at Pike Lake and it is insured: ❑ YES Received 2019/2020 Golf Cart Sticker No.: Pontoon Boat Fee of $250.00 +HST Invoiced May, 2020
PIKE LAKE GOLF CENTRE LIMITEDSeasonal Camping Agreement • January 16th, 2020
Contract Type FiledJanuary 16th, 2020Seasonal Camper Information Has your information changed? ❑ YES ❑ NO Name: Home Phone: Name: Cell Phone: Email Address: Work Phone: PO Box/Street: City: Province: Postal Code: Emergency Contact: Emergency Contact Phone: I would like to receive correspondence (invoices, bulletins, newsletters etc.) by email: ❑ YES ❑ NO Trailer Information Required by MPAC Propane Inspection Date: SIZE OF Trailer: Deck: Added Room: Shed: Make & Model: Year: Own 100lb Tank: ❑ YES ❑ NO My trailer at Pike Lake Golf Centre Limited is insured: ❑ YES See Section F* Number of 100lb Rental Tanks: See Section U* Golf Cart Information See Section N* Pontoon Boat Information See Section F* I have my own golf cart at Pike Lake and it is insured: ❑ YES I have my own pontoon boat at Pike Lake and it is insured: ❑ YES Received 2019/2020 Golf Cart Sticker No.: Pontoon Boat Fee of $250.00 +HST Invoiced May, 2020