This form is a request
for information on room availability only and does not constitute a confirmed reservation.
After submitting this form, your reservation will be confirmed by
E-mail.
Name:
Email:
Address:
City:
Prov/State:
Country:
Postal Code:
Phone:
Fax:
Arrival Date:
Number of Nights:
Number of People:
Adults: Children:
Room Type:
smoking non-smoking
Comments:
Booking Confirmation:
(Credit Card required to
confirm your reservation)
Card Number:
Expiry Date:
If
you feel uncomfortable sending credit card information over
the Internet, please call
Toll-free: 1-888-881-1188 Canada and USA
Local Phone: 250 347-9402
Your Hosts Dwayne and Myrna Cundliffe are looking
forward
to seeing you at Motel Tyrol.
Please Note: 
