Name            

Street Address  

City            

Province/State  

Country         

Postal/ZIP Code 

Phone           

FaxPhone        

e-mail Address  


     Please check your e-mail address

Number of Adults   Number of Children  

ANTICIPATED ARRIVAL DATE Day (dd): Month (mm):  

Year (yy): 

DEPARTURE DATE Day (dd): Month (mm): 

Year (yy): 

 Kitchen Included  Efficiency Accomodation

 Phones  Group rates

 Crib req'd     NON Smoking Room(s)

 1 Person/1bed  2 persons/1 bed per room

 2 persons/2 beds per room

Extra Details

You may go back and correct or check your entries before you push SUBMIT. 

Your e-mail address must be correct. If you do not receive a reply then assume that this form was not received and please resubmit. 

We will process your request and then e-mail you a reservation number and information about methods to confirm your reservation.( via phone, fax, email, online form or mail). 

No credit card information is required at this time. It will not be linked to your name. 

Only to the reservation number that you will receive from us. 

You will be informed of the options for payment to ensure your room(s) via e-mail.