Port Mouton Bay Cottages


"the cottages by the  sea"

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Copyright 2015 Port Mouton Bay Cottages Created by Warren Wagner Internet consultant

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Registration Form

              Contact Information:                                                           Reservation Information:

Use this form to reserve accommodations on our Super Saver Plan and save 20%.

Full payment by credit card is due at the time of reservation. No changes, no refunds.

Your credit card will be charged upon confirmation of the reservation.

Discounts may not be combined.

Address 2:
State or Province*:
ZIP or Postal Code*:

Number of Adults*:
Number of Children*:
Total Registering*:
Date Needed*:
Weeks Required*:
Nights Required*:

Method of Payment:
Name on Card:
Credit Card Number:
Expiry Date (mm/yy):

Type of Accommodation:

Payment Information:

Note: * means a required field.

Additional Information Request:
Please outline any additional information, queries or comments in the space provided below:

Acceptance of terms and conditions: Upon confirmation of this reservation request, your credit card will immediately be charged the full amount plus applicable taxes. You may not make any changes to this reservation. No refunds will be given on this transaction, for any reason. By selecting "yes" in the box to the right, you agree that you understand and accept the terms and conditions.


Completing this form does not constitute a confirmed reservation. No reservation is deemed confirmed until you have received a confirmation booking number which will be within a maximum 72 hours of receipt of this reservation request (usually within 48 hours).