Kingfisher

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Winter Package Reservation Form
Print this Form and mail it with your Deposit or Fax it to us with Credit Card information
 Fax:  705-747-0035


Date:  _______________________________________________________________________
Name:  ______________________________________________________________________
Address:  ____________________________________________________________________
City: ______________________ Prov./State:___________   Postal Code___________
Telephone: (Res): _______________________ (Bus):__________________________
Please Reserve:    (   ) Two  (   ) Three Bedroom Chalet # Adults: _____  #Children______
Arrival Date:  ___________________ 3 p.m. Departure Date: _________________11 a.m.
Deposit Enclosed:_____________________________________________________________
Credit Card#:__________________ (  ) Mastercard  (  ) Visa Card Exp Date:__________
Comments:___________________________________________________________________

Office Use Only

Cottage:_____________  Deposit: ____________ Rec.#:_______ Confirmed:___________