Reservations Form

Fields marked with  ^* are required.

LAST NAME ^*

FIRST NAME ^*

ADDRESS ^*

CITY ^*

PROV/ STATE ^*

POSTAL/ ZIP ^*

PHONE ^*

E-MAIL

ROOM PREFERENCE

WHEEL CHAIR ACCESS

Yes
No

I AM INTERESTED IN:

 Accomodation Only
 Fishing / Boating
 Horseback Riding
 Motor Biking - Cycling
 Hiking - Walk / Run
 ATV'ing
 Whitewater Rafting - Spring Only
 Ice Fishing
 Dog Sledding
 Skijoring
 Snowshoeing - XCountry Skiing
 Snowmobiling

NUMBER IN PARTY

START DATE REQUESTED

END DATE REQUESTED

DEPOSIT METHOD

Credit Card Cheque

Please Note that we cannot hold a reservation for you until a deposit payment has been received. The quickest and easiest method is to call with your credit card number.
Or, mail a cheque to:

Quiet Bay Log Motel, RR#2, Hwy. 124 # 5333, Magnetawan, Ontario.
P0A 1P0, Canada

ADDITIONAL REQUIREMENTS