Address ________________________________________

City/St/Zip _____________________________________

Phone or Fax ____________________________________

E-Mail__________________________________________

Which of the Wilder RV Resorts would you like to reserve?

___ Alamo Rose RV Resort, Alamo, TX
___ Blue Parrot RV Resort, Lady Lake, FL
___ Fort Myers Campground, Ft. Myers, FL
___ Hawaiian Isles RV Resort, Ruskin, FL
___ Oak Springs RV Resort, Port Richey, FL
___ Palm View Gardens RV Resort, Zephyrhills, FL
___ Park Place Estates RV Resort, Harlingen, TX
___ Pioneer Creek RV Resort, Bowling Green, FL
___ Rice Creek RV Resort, Riverview, FL
___ Southern Aire RV Resort, Thonotosassa, FL
___ Sundance Lakes RV Resort, Port Richey, FL
___ Texas Trails RV Resort, Pharr, TX
___ The Springs RV Resort, Silver Springs, FL
___ Tip O’Texas RV Resort, Pharr, TX
___ Trophy Gardens RV Resort, Alamo, TX
___ Tropic Star RV Resort, Pharr, TX
___ Winter Ranch RV Resort, Alamo, TX

Type of RV:_________________________________

Towing:  ___ None  ___ Car    ___ Boat 

                ___ 5th Wheel    ___ Other: _________

Number of Adults: ____     Number of Children: ____

Pets, number and type: _________________________

Handicap help: ________________________________

How will you pay for your deposit?

__Check __ Money Order or Credit Card:

Card Number __________________________________

Expiration Date _______Total Amount $____________

Signature ______________________________________