Name		Check in Date
E-Mail Address		Number of Nights
Home Phone		Number of Adults
Work Phone		Number of Children
Address		Children's Ages
State		Car Make*
Questions or Comments

Use this form or email slvoith@sbcglobal.net to request a reservation.

* Field required for parking permit

For rates and additional information, email or phone:
Larry or Susie Voith, WISH I WERE HERE VACATION RENTALS
Phone: 317 844-3748 Cell: 317-432-8851
Email: slvoith@sbcglobal.net