Butterfly Lake Cottage Rentals : Application Form

Application Form

Cottage Requested
Cottage Name:
Dates Requested
Check-In:		Check-Out:
Applicant's Information
Applicant's Name:
Address:
City:		Prov./State:
Country:		Postal/Zip:
Phone:
Email:
Drivers License #:		Plate #:
Names, addresses and phone numbers of all those occupying cottage:
Names and dates of any day or overnight guests:
Other Comments:
Booking Information Visa, MasterCard, AMEX, Cheque or Money Order accepted for 30% deposit. Balance payment can be made by cheque, money order or cable.
Total Rental Cost $:		(quoted rate includes taxes and fees, if applicable)
Less 30% Deposit $:		we will call you for your Visa, MasterCard or AMEX number.
Balance $:		cheque dated 30 days prior to your vacation
Credit Card Information Please give us your credit card information by telephone.
Acceptance of the Application for Rental Acceptance of the Application for Rental of any cottage property represented by Butterfly Lake Cottage Rental constitutes agreement by the applicant and their party to abide by the 'Terms and Conditions'. We will contact you by phone to confirm acceptance.
I hereby state that the above information is correct and that I have read and agree to the 'Terms and Conditions'.
Additional Information
Please remember to print a copy of the 'Terms and Conditions' it, sign it and send it in with your payment(s) to hold booking. Balance and security deposit cheques must be sent together, post dated as appropriate.