Form

COTTAGE RESERVATION FORM

Please COMPLETE, PRINT, and MAIL this page to:

BAYSHORE COTTAGES, 186 Old Mill Road, R.R.#2., Wiarton, ON, Canada N0H 2T0

FIRST NAME
LAST NAME
MAILING ADDRESS	APT./UNIT CITY PROVINCE/STATE POSTAL CODE/ZIP
PHONE NUMBER	Home: -- Work: -- Ext.
E-MAIL ADDRESS
FOR COTTAGE NOS.
ARRIVAL DATE	DAY MONTH YEAR
DEPARTURE DATE	DAY MONTH YEAR
NUMBERS	ADULTS CHILDREN PET No.
BOAT REQUIRED	YES MOTOR ROW
DEPOSIT ENCLOSED	CHEQUE COTTAGE $ BOAT $

You will receive confirmation of your booking as soon as your DEPOSIT is received.

We look forward to your visit!