Port Mouton Bay Cottages
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1 Bedroom
2 Bedroom
3 Bedroom
Registration Form
Contact Information: Reservation Information:
Name*:
Address*:
Address 2:
City*:
State or Province*:
ZIP or Postal Code*:
Country*:
Phone*:
Email*:
Note: * means a required field.
Number of Adults*:
Number of Children*:
Total Registering*:
Maximum occupancy is 6 except for 1 bedroom which is 2.
Date Needed*:
Weeks Required*:
Nights Required* (
Minimum 2 nights for cottages
):
Type of Accommodation:
2 Bedroom Cottage with Queen, Queen, Hide-a-bed
2 Bedroom Cottage with Queen, Twin & Twin, Hide-a-bed
2 Bedroom Cottage accessable
3 Bedroom Cottage with Queen, Queen, Queen & Twin, Hide-a-bed
1 Bedroom suite with Double Bed
Check the box to the right to select 20% Supersaver daily rate.
This rate requires full payment by credit card at the time of reservation
(your credit card will be charged upon confirmation of the reservation).
Must be booked a minimum of 7 days in advance.
There are no changes or cancellations permitted, and no refunds will be given.
_____________________________________________________________
Method of Payment*:
VISA
Mastercard
American Express
Diner's Card
ENROUTE
JCB
Discovery Card
Name on Card*:
Credit Card Number*:
Expiry Date (mm/yy)*:
CVV:
PLEASE READ
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).
Additional Information Request:
Please outline any additional information, queries or comments in the space provided below: