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Information

Guest Information Sheet

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In Case of Emergency, Please Contact

License Information

Birthday
Month
Day
Year

Both your social security and driver's license numbers are required by the state of South Dakota in order to process your license. We treat this information confidentially.

Anchor 1
Pheasant Crest Lodge
Brian Havlik
23625 365th Ave.
Kimball, South Dakota 57355

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         605.730.4000 (Cell)            phcrest@midstatesd.net            605.778.6340 (Lodge)

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