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Reservation Request Form

	First check for available dates!
	Reservations will require a refundable deposit (details below): $150 for the Selah Cabin, $75 for the Upper Room at the Lodge. Initial confirmation will be emailed with instructions how to send deposits. Check with the hosts for available scholarships.
	Minimum Stay: Selah Cabin 4 nights minimum. Upper Room 2 nights recommended.
Title	Invalid Input
Full Name (*)	Required Field
Spouse's Name	Invalid Input
Your Church (*)	Required Field
Staff Position (*)	Required Field
E-mail (*)	Invalid email address.
Church/Ministry Web Site	Invalid Input
Phone (*)	Required Field
Church/Ministry Mailing Address (*)	Required Field
City (*)	Required Field
Zip (*)	Required Field
State (*)	Required Field
	First Choice
Check-in day. (*)	Please select a check-in date
Check-out day. (*)	Required Field
	Second Choice
Check-in day.	Please select a check-in date
Check-out day.	Required Field
Accommodation (*)	Upper Room in the Lodge Selah Cabin No preference Mark at least one
For those planning to stay at the Lodge: Should we be aware of any food or pet allergies?	Invalid Input
How did you hear about us? Any other comments?	Invalid Input
	Invalid Input

	Refundable Deposit: Cancellations up to 2 weeks in advance will receive a full refund, later cancellations or cutting the booked stay short will forfeit the deposit. Check with hosts for further details.

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