Thank you for your interest in staying with us at Great River Road Golf Club!

Please note, that by submitting this form, you are making a request for a lodging reservation (with or without golf) and does not guarantee a reservation. All units are subject to availability. Please complete this entire form prior to pressing the "Submit" button. Items marked with a red arrow indicate required fields. After submitting this form, we will contact you as soon as possible to confirm your reservation, or let you know that we are unable to fulfill your request at this time. If we are able to fulfill your request, a $50 per person, non-refundable deposit will be required after your request is confirmed in order to hold your reservation. For your convenience, we accept checks, money orders, Visa, MasterCard, Discover and American Express. If you need to confirm your reservation immediately or would like to make a reservation for an arrival within less than 48 hours, please call us during normal business hours.

We will contact you within 24 hours of our receipt of your reservation request. Please be sure to include a valid telephone number and e-mail address with all reservation requests. If contact is not made and no deposit has been made, your initial reservation request shall be considered null and void.

Guest Name:
Street Address:
City:
State:
Zip:
Telephone:
Email:
Arrival Date:
Number of Nights:
1st Lodging Choice:	Condos - On the Course Red House - On the Course 18th Hole House - On the Course Red Cabin - On the Course Nauvoo Vacation Condos - Nauvoo, IL Fairfield Inn - Keokuk, IA Iowan Motor Lodge - Ft. Madison, IA Super 8 - Ft. Madison, IA Super 8 - Keokuk, IA Hampton Inn - Keokuk, IA Comfort Inn & Suites - Ft. Madison, IA Holiday Inn - Keokuk, IA
2nd Lodging Choice:	Condos - On the Course Red House - On the Course 18th Hole House - On the Course Red Cabin - On the Course Nauvoo Vacation Condos - Nauvoo, IL Fairfield Inn - Keokuk, IA Iowan Motor Lodge - Ft. Madison, IA Super 8 - Ft. Madison, IA Super 8 - Keokuk, IA Hampton Inn - Keokuk, IA Comfort Inn & Suites - Ft. Madison, IA Holiday Inn - Keokuk, IA
Number of Rooms:
Number of Golfers:
Number of Non-Golfers:
Smoking Preference:	Smoking Non-Smoking
Preferred Package:	Per Person, Per Day 3 Day, 2 Night Weekday or Fall
Preferred Tee Time - Day One:
Preferred Tee Time - Day Two:
Preferred Tee Time - Day Three:
Preferred Tee Time - Day Four:
How did you hear about us?
Please list any other information regarding your request:
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Reservation Policy: We require a reservation 48 hours in advance. We recommend calling as early as possible to assure the dates you are considering are available.
For QUESTIONS or FASTER SERVICE, CALL Great River Road Golf Club at 1-800-233-0060. We normally open around the first week of March and stay open until approximately December 10th, depending on the weather. Thank you for making this reservation request with us! We are looking forward to your visit.