Bethpage Camp-Resort Reservation Request
First Name
Last Name
Street Address
Address2
City
State
Zip Code
Phone Number
Email
Group Name (if applicable)
Arrival Date (include year)
Departure Date (include year)
Requested Site Type
Full Hook-Up Site
Super Site
Cottage - Call for Reservations (804-758-4349)
Special Site Requests
Number of Adults
Choose one
1
2
3
4
5
6
Number of Children Over 4 years old
Choose one
0
1
2
3
4
5
6
Card Type
Choose one
Visa
Master Card
Card Number
Card Expiration
Security Code
Name as it appears on card
Type of RV
Motor Home
Fifth Wheel
Travel Trailer
Pop-Up
Truck Camper
Length of RV
Less than 20 ft
20-24 ft
25-29 ft
30-34 ft
35-39 ft
40 ft plus
Previous guest?
Yes
No