| Please print this page, complete it and mail to:
Midway Gulch 125 Kniest Ave. Yankton, SD 57078
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| Rental Unit: _________________________________ |
| Date(s) of Stay From: ____________ To ____________ |
| Rate: $_________ per night plus 5% state taxes |
| $49 - Camping Cabin, $18 - RV site per night |
| Please fill in dates, name, unit and mail back one copy. |
| A deposit of one night stay is required to hold dates. |
| Please sign and mail back with Credit Card # or Check |
| Signed_____________________________________________________Date__________________ Name__________________________ Date(s) of Stay - From:____________To:________________ MC or Visa#______________________________________________Exp. Date________________
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