On-Line Reservations

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="044fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Wilderness Lake Campground & Resort</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Wilderness Lake Campground Resort"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Facilities"><U>Facilities</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="News and Events"><U>News and Events</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Location"><U>Location</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Campground Site Map"><U>Campground Site Map</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <B>On-Line Reservations</B>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Rates"><U>Rates</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Rules Regulations"><U>Rules & Regulations</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Photo Gallery"><U>Photo Gallery</U></A>   |   <A HREF="id39.htm" TARGET="_top" TITLE="Speed Limit"><U>Speed Limit</U></A>   |   <A HREF="id40.htm" TARGET="_top" TITLE="Park Model Rentals"><U>Park Model Rentals</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="045d2b03.jpg"> <div> <IMG SRC="06c915c0.jpg" border=0 width="145" height="92" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>On-Line Reservations</I></div> <bR> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Address1,City,State,Zip,Phone,Arrival Date,Departure Date,# Adults,# Children,# Pets,Type of Trailer,Size of Trailer,Site(s) Preference:,LocationPreference,Hook Ups Required?,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your reservation request. You will receive confirmation that your reservation has been accepted shortly."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="crossenk@tiac.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Arrival Date:<br> <input type="text" name="Arrival Date" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Departure Date:<br> <input type="text" name="Departure Date" size="30" maxlength="100"></td> </tr> <tr> <td align="left"># Adults:<br> <input type="text" name="# Adults" size="30" maxlength="100"></td> </tr> <tr> <td align="left"># Children:<br> <input type="text" name="# Children" size="30" maxlength="100"></td> </tr> <tr> <td align="left"># Pets:<br> <input type="text" name="# Pets" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Type of Trailer:<br> <input type="text" name="Type of Trailer" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Size of Trailer:<br> <input type="text" name="Size of Trailer" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Site(s) Preference:<br> <input type="text" name="Site(s) Preference:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Location Preference - Regular, Premium, or Lake:<br> <input type="text" name="LocationPreference" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Hook Ups Required - Yes or No:<br> <input type="text" name="Hook Ups Required?" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Special Requests or Needs::<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table></body>