Name :
Street Address :
City :
Province/State :
Country :
Postal/ZIP Code :
Phone :
Fax/Phone :
E-mail Address :
Number of Rooms : 
Number of Nights Required : 
Number of Adults : 
Number of Children under 12 years : 

ANTICIPATED ARRIVAL DATE
Day (dd):    Month (mm):  Year (yy): 

DEPARTURE DATE
Day (dd) :  Month (mm): Year (yy): 


Please Indicate the type of Accommodations Preferred
Phones
Cot     NON Smoking Room(s)
1 Person/1 bed   2 persons/1 bed per room
2 persons/2 beds per room

Extra Details

Explain exactly any details that you have to addto your request.
  • You may go back and correct or check your entries before you push SUBMIT.
  • Your e-mail address must be correct. If you do not receive a reply then assume that this form was not received and please resubmit.
  • We will process your request and then e-mail you a reservation number and information about methods to confirm your reservation.( via phone, fax, email, online form or mail).
  • No credit card information is required at this time. It will not be linked to your name.
  • Only to the reservation number that you will receive from us.
  • You will be informed of the options for payment to ensure your room(s) via e-mail.