Please complete this form, print it out, and send it with your payment to:

Reservations
c/o Alice Spargur
PO Box 546
Spearfish, SD 57783
*please note - this is only a mailing address. For address/location information click here.

First Name
Last Name
Address
City
State
Zip
Phone Number	hm other
Email Address

Dates you will be staying at The Broken Boot
through

Total number of nights at Broken Boot
Number of people in your party
total per night charge*
RV electric hook up charge** (if applicable)
Total payment included with the form
*In order to figure your total per night charge take the number of people in your party X the per night rate. Multily this number by the number of nights you are staying. EXAMPLE: 2 people for 5 nights would be 2(people) X 12.5(nightly rate/person)= 25.00 25.00 x 5(number of nights) = $125.00 total be sure to add the hook up charge to this total if applicable** ** RV electric hook-up fee is 150.00/week.

Payment can be made by money order or by check. Make payable to Broken Boot LLC. Unfortunately, we are unable to accept credit cards at this time. Thank you for your cooperation, -The Broken Boot Campground