Reservations Fax Form

Fax To: (780) 586-3829

Return to
By The Lake Bed & Breakfast Home Page

Please enter your personal information:

First Name: _________________________

Last Name: _________________________

E-Mail Address: _________________________

Mailing Address: _________________________

City: Prov/State: _________________________

Country: Postal/Zip: _________________________

Telephone: _________________________

Fax: _________________________

Travel Date: _________________________

Number of Travellers: _________________________

Comments and Requests: _____________________________________________

MUST CANCEL RESERVATION 48 HOURS BEFORE OR CREDIT CARD WILL BE CHARGED

Please enter your room requirements:

Check in date: __________________

Private Guest House with queen size bed/ensuite/sitting room with pull out sofa: _______

Main Bedroom/ensuite/private sitting room: ______

Length of stay: _____________

Number of adults: ______

Number of children: ______