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Rough Creek Lodge & Resort can help arrange your wedding and provide you with more information. Please complete the following information and a wedding specialist with contact you directly.

Wedding Information ( * denotes required field)

* Event Name
Bride's First/Last Name
Groom's First/Last Name

Contact Information

* First Name
* Last Name
* Is this your home or business address?	Home Business
Address Line 1
Address Line 2
City
State/Province
Zip/Postal Code
* Country
* E-mail Address
* Telephone Number
Fax Number
Prefix
Mobile Number

Keep Me Updated

Check here if you would like to receive updates about Rough Creek Lodge & Resort.

My Request

* Preferred Wedding Date

* Alternate Wedding Date

* Morning, Afternoon, or Evening Event

	Morning
	Afternoon
	Evening

* Budget Range

* Preferred Guest Arrival Date

* Preferred Guest Departure Date

* Are arrival & departure dates flexible?

Yes No

* Number of Guests at
Wedding/Reception

* Number of Guests at
Rehearsal

* Number of Bridesmaids

* Number of Groomsmen

* Overnight Guestroom Accomodations

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