Reservation Form

Personal Information

Last Name: First Name:

Phone: Fax:

Email (Required):

Number of Guests:

Number and Type(s) of room(s) (e.g. 1 double room, 1 triple room and 1 double room, 3 Singles etc.):

Arrival Date (dd/mm/yy): Departure Date (dd/mm/yy) :

If you want to reserve extra dates, please use the following fields. We will assume the same number of guests and room type unless a difference is specified in the "Additional Information" field below.

Arrival Date 2 (dd/mm/yy): Departure Date 2 (dd/mm/yy) :

Arrival Date 3 (dd/mm/yy): Departure Date 3 (dd/mm/yy) :

Credit Card Information: (In order to hold your reservation we need a credit card number, if you don't want to send this kind of information via email, please send us  the information requested here, to the fax: (506) 224-9746

Cardholders Name: Number:

Type: Visa Mastercard Amex Expiration Date (mm/yy):

Additional Information (Optional):