| Name___________________________ | Address__________________________________ |
| City_____________________________ | State/Province_____________Zip/Postal________
|
| A
party of _____adults & _____ children (under 12) will arrive_____________for______days |
| Departing________________________ | Mode
of Travel_____________________________ |
Reservation
Deposit $___________________ ($150.00 per person) | (
) Cheque or Money Order Enclosed |
| | Home
Phone: _____________________________ |
| | Business
Phone:___________________________ |
| | Email
Address :____________________________ |
I understand
I will be charged for the period reserved, and for any damage to rental equipment
which I, or a member of party uses, including boat and motor. If necessary for
me to cancel this reservation, deposit will be refunded to me, if cancelled 90
days prior to arrival date. If after this date, deposit will be applied on reservation
for later date or following season. Chapleau Lodge is a division of 772209 Ontario
Limited. | |