Request Info Form

Please be aware that Lake Receptions is closed effective March 27, 2020 due to COVID-19 pandemic.

Please Complete Form.
* required fields

Name:*

First

Last

Address:*

Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code

E-mail:*

Phone contact:*

Area Code

-

Phone Number

Requested date for the event:*

Number of Anticipated Attendees:*

Will there be a meal?:*

Yes

NO

Meal:

Served

Buffett

Hours requested for the event

Start:*

End:*

Word Verification:

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