RESERVATION REQUEST FORM
Please note:
The boxes with asterisks are required to be filled out in order to send this form.
Customer Name *
Mailing Address *
City *
State/Prov *
Zip/Postal Code *
Country *
Phone No *
Date of Arrival
Date of Departure *
Package Plan Number *
1) Party of Two
2) Party of Three
3) Party of Four
4) Party of Six
5) Family Package - July
Accommodation *
Light HK - Small
Light HK - Med
Light HK - Large
Camping
Number in party
No of Children
Number of Motors
Motor Size
Please send us your comments or special requests
Type the following:
For security purposes, please type the letters in the image.
Thanks for visiting our site!
ACCOMMODATIONS
|
RATES
|
FISHING
|
LOCATION
|
CONTACT US
Copyright
© 2005-2010 JR's Portage Bay Camp