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The Beach House
  
IF YOU ARE INTERESTED IN RESERVING THE BEACH HOUSE IN BROOKINGS, PLEASE CONTACT JAN NORMAN AT normanjan@hotmail.com.
YOU WILL BE ASKED TO PROVIDE THE FOLLOWING INFORMATION:



THE BEACH HOUSE

REGISTRATION SHEET

Name of Person Responsible:_______________________________

Address:_________________________________________________

City:_______________State:___________Zip Code:___________

Home Phone:_______________Work Phone:___________________

Drivers License (State and Number)________________________

Date of Arrival_____________ Date of Departure:__________

Number of People in Party:____________