Kubba Family
August 5th and 6th 2016
2 nights minimum
· 214 $ + taxes one bedroom suite (single or double) plus breakfast (2)18$ x 2 plus service plus taxes= 295.95$ per night
Lodging 2 nights before or after event at 214$ + taxes for one bedroom suite = $248.35
Last Name : ___________________________ First Name : ______________________________________
Address : _________________________ City:____________________________ Postal Code____________
Tel. home: _____________________________ Tel. office: _______________________________________
Fax : _________________________________ Email : __________________________________________
Arrival date: ___________________________ Departure date: ____________________________________
Check in (after 4h pm) :___________________ Check out (11h am) :________________________________
Number of nights : _______________________
Number of adults :_______________________ Number of children : ______ (0-5) ______ (6-12) _____ (13-17)
CONDITIONS :
ü A first night deposit is required at time of booking. in the amount of $248.35
ü Cancellation within 30 days are not refundable
ü Rates are per room, in single or double occupancy; triple and quadruple occupancy, add $25.00 per additional person
ü Children up to 17 years old sharing with their parent’s stay free
. Meal payable on site.
MODE OF PAYMENT: ¨ Visa ¨ Master Card ¨ AMEX ¨ En route
Credit card number : ________________________________________ Exp. : _____________
Signature : ________________________________________________ CCV:_______________
Would you like to receive information for airport transportation? Yes ___No_________
What Airport are you arriving?_______________________________
RESERVATION : Please forward your reservation request with your deposit by fax at 819-425-9725
Or e-mail *****@***com
Food Restriction:__ _______________________________________________________________
