"Campsite reservation"

Please confirm a site reservation for:

Street address:  
Province / State:     
Postal / Zip code:  
Phone:       ex.: (111) 123-1234
Email address:
Date of arrival:
      Arrival time: 
Date of departure:
Number of adults:      Number of children: 
Preferred site no:      
Other preferred site(s):
Site requirements: Tent
Pop-Up trailer
  Truck camper
  Travel trailer       ....  please specify length feet
  Fifth Wheel        .....  please specify length feet
  Class-A motorhome   ....  please specify length feet
  Class-B motorhome   ....  please specify length feet
  Class-C motorhome   ....  please specify length feet
  Other   ....  please specify length feet
Site hookups: No services ()
  Water only ()
  Electricity only ()
  Sewer only ()
  Water and electricity ()
  Water and sewer ()
  Electricity and sewer ()
  Water, electricity, sewer ()
Electrical requirements: (none)      15 amps       30 amps        50 amps
Site preferences: Shaded area Non-shaded area
  Near washrooms Near laundry facilities
  Quiet area Near playground
  Near swimming pool Near river/lake
Other preferences /
special requests:
This is a valid reservation request, not spam!