Room Rates: (Please Circle)
• Single/Double: $109.00 plus tax
• Triple/Quad: $119.00 plus tax
• Junior Suite: $149.00 plus tax
• Executive Suite/one bedroom: $350.00 plus tax
• Executive Suite/two bedrooms: $450.00 plus tax

Mail this form with $100.00 deposit to:

Ann Skyler-Cobbett
31512 Round Lake Road
Mt. Dora, FL 32757

(352 735-4884 or Highacre@earthlink.com)

Please make check payable to: GDCA Southeast Division
Room confirmations will be sent

Name:_____________________________________________

Address:___________________________________________

City, State, Zip:_____________________________________

Phone:___________________________ Email: ________________

Date of arrival _______________________

Date of departure: ____________________

___Smoking___Non-smoking. Coming w/dogs? Yes____No____
Limit 2 dogs per room

Please list the names of all room occupants! _________________________________________________

_________________________________________________

All requests will be honored on the basis of availability.
Reservations made directly with the Wyndham will NOT be honored.