Memory Lane Vacations 
   551 S Main St ~ Andover ME 04216 ~ 207-392-2381
 Please complete this form & return with your deposit by check or money order to the address above. 
Phone with your credit card. We ask a deposit of 35% of the total fee to hold your spot at Memory Lane. 
Deposits are non-refundable but are transferable to a different date with prior notice & approval. 
Sorry, no refunds or transfers due to inclement weather. . . . it's Maine!
Weeknights are Monday ~ Thursday *** Weekend nights are  Fri ~ Sat ~ Sun
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Check in 4:00 PM ~ Check out Noon ~ Minimum 2 night stay 
Total fee for the original number of people reserved will be charged.
 Special arrangements for early arrival can be made in some cases. 
Meals can be provided in full or in part, call for details.
 We will do our best to provide a really fun stay at Memory Lane !
Sincerely,  Deb & Matt

Date of Arrival
___-___-_____		 Date of Departure
___-___-_____		 Total Nights Stay
________		 Totals

 

 

 

 
Studio Rental weeknight
$95.00 / night double		 ____ Nights @ $95.00
_________		 ___ Extra guests @ $10.00 each ______ __________
Studio Rental weekend
$105.00 / night double		 ____ Nights @ $105.00
_________		 ___ Extra guests @ $10.00 each ______ __________
Studio Rental 
Holidays & Vacation weeks
 $115.00 / night double		 ____ Nights @ $115.00
_________		 ___ Extra guests @ $15.00 each ______ __________
____ Dog (s)  $10.00 per night per dog   __________
       

Name: __________________________________
Address: _________________________________
Town: ___________________________________
State: ______________ Zip: _____________
Tel: _____________________________________
E-mail _________________________________
Name on card _____________________________
Credit card #___________________________Type_____
Exp date _________ Security code __________

 Subtotal  
7% sales tax  
35% deposit  
Balance due

 

Send with check, money order or credit card to Memory Lane Vacations to make your reservation.
or Phone with your credit card for instant reservations.
207-392-2381