Guest Information:
Name:
Street Address:
City:
Province/State:
Postal Code:
Country:
Home Phone:
Cell Phone:
Work Phone: Extension:
Profession:
email:
Rental Conditions:
Do you agree with these five conditions:
There will be no pets brought to the cottage : select Agreed Do Not Agree
There will be no smoking inside the cottage : select Agreed Do Not Agree
The cottage will be rented for lodging ONLY, no parties or large gatherings: select Agreed Do Not Agree
A damage security deposit ($750) will be provided before arrival: select Agreed Do Not Agree
You are responsible for any damages caused during your stay : select Agreed Do Not Agree
Note: You need to agree to all conditions to proceed. Please contact us if you need any clarification.
Rental Information:
Today's date:
Arrival date: normally after 4:30 PM
Departure date: normally before 11:30 AM
Number of guests: select 1 2 3 4 5 6
Approximate age of guests: example: 41, 39, 15, 13
Total rent agreed upon: in select C$ US$
Reservation deposit agreed upon:
to be paid by: select Cheque Credit Card Money Order PayPal Cash Other
to be paid within select 1 week (from Canada/USA) 2 weeks (from Europe)
Balance to be paid (in cash) at arrival:
Please verify your information before submitting.
Reservation Form (To be filled once we both agree on Rental Conditions, Dates & Price)
