Reservation Form

For Reservations please call:
(from USA dial 011 & number) 506-643-2211 or 2216

After we make the reservation by phone please print and fill out this page. 
Fax back to us at 506-643-3633

To reserve a room we require a 15% deposit.
Cancellations that are received later than one week prior to arrival are subject to
credit card charges equivalent to a one night stay.

*First Name:__________________________

*Last Name:____________________________

Company / Group (if any):________________________

*Country:________________________

Address:________________________________________________

*City___________________

*State / Province__________________

*Zip / Postal__________

Email:___________________

*Daytime Phone:_____________

Evening Phone:______________

Fax:_____________

Additional Information

*Arrival Date:______________

Arrival Time:____________

Length of Stay:_____________

*Departure Date:_____________

Air Carrier:____________________

Flight #___________

*Total Number of Persons:_______

*Number of Adults:_______

*Number of Children:_______ 

Do you need transportation from the airport?
                    (YES)              (NO)

Airport transfer will cost an additional $80.00Reservation Deposit

*Credit Card Information:      (VISA)        (Master Card) 

*Card Number:_____________________________

*Exp. Date:________________

*Signature:_____________________________________