Canoe Canada: Outpost Cabins: Reservation Form

Reserve Tip Top Lodge

This is a Reservation for:

Tip Top Lodge on Sanford Lake

* = Required Fields

Personal Information

First Name

Last Name

Address

City

State / Province

Zip / Postal Code

Phone

Fax

Email Address

Party Information

Arrival Date

Date Trip Starts

Date Trip Ends

Total in Party

Number of Adults

Number Under 16 yrs.

Motel Accommodations

In order to make a Motel Reservation, you must send a Check or Credit Card information. Credit Card information may be sent by mail, fax, or use our the following fields to send electronically (NOT SECURE).

Motel Accommodations

	Before the Trip
	After the Trip
	Number of People
	Number of Rooms

Method Of Payment

Payment
(Select one please)

	I'm sending along a check by mail.
	Credit Card Online [Not Secure]
	I'll fax my credit card number (807-597-5804).
	I'll call you to give my credit card number.

Credit Card Online [Not Secure]

Credit Card Type

Credit Card Number

Expiration Date

[ mm/yy ]

Addition Information or Questions

We heard about you:

Do you have any additional questions or comments?

Important Information

We require a non-refundable deposit of $500/person upon receipt of reservation.

Please make deposit checks payable to:

Canoe Canada Outfitters
300 O'Brien Street,
P.O. Box 1810,
Atikokan, ON P0T 1C0
Phone: 807-597-6418
FAX: 807-597-5804
canoecanada@nwon.com