Reservation Request

315 Nelson Road
Farmington, PA 15437-9507
(724) 329-4097
Fax (724) 329-8101

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THIS IS A RESERVATION REQUEST ONLY

If you are making reservations for less than ten days from today, please DO NOT use this form; call 724-329-4097.

Notice: The Pennsylvania Department of Agriculture has issued a quarantine on firewood. NO firewood is permitted to be into Pennsylvania from other states.
The best way to comply with this quarantine is by purchasing local firewood from the park where you are staying.
PLEASE do your part to save our trees.

Your reservation will be confirmed by phone or email at which time a deposit will be required.

*First Name:		*Last name:
*Address:
Address line 2:
*City:		*State:
*ZIP:		Country:
*Phone Number:		*email:
Best Time to Call:		*Confirm email address:
* indicates required fields

*ARRIVAL DATE:

Note: there is a minimum two nights stay for weekends and a minimum of three nights stay for holidays.

Mo: Day: Yr:

DEPARTURE DATE:
Mo: Day: Yr:

Adults:
Children 4yrs to 17yrs old:
Children under 4yrs (stay free):

*Reservation Request:

Tent Site

No Hookup
Tent Water and Electric
Group Tenting no Hookup

RV: Full Hookup Site (water, sewer, and electric)

Type of RV:
Length:	feet
Number of Slideouts:
Electric:

Rental Units: (choose quantity of units desired)

	Mountain Cottage(s) (sleeps 6)
	Log Cabin (sleeps 5)
	Log Cabin (sleeps 2 to 4)
	Linen Rentals for Mt. Cottages or Log Cabins
	Benner House (sleeps 8)
	Benner Barn (rustic, sleeps 6)

*How did you hear of Benner's:

Friend
Woodall's Directory
Trailer Life Directory
Wheeler's Directory
PA Camping Directory
Other Directory:
Laurel Highlands Visitors Bureau
Internet Search
Benner's Website
Rafting Company referral:
RV show
Other:

Comments, special requests, or questions:

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