Customer Account Request


Fields marked with an asterisk (*) must be completed to process your reservation request.

Visitor Information
If you have recently stayed at Baxter State Park, and you know your Customer ID number, please supply it below. The customer ID number can be found on your reservation confirmation.
Customer ID:
First Name: *
Last Name: *
Company/Organization:
Address1: *
Address2:
City: *
State: *
ZIP: *
Country: *
EMail: *
Home/Mobile Phone: *
Alternate Phone: *
Emergency Contact: *
Emergency Phone (other than your mobile phone): *
Account Password (6-24 characters): *


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