Name* 

First name*

Address

Country     Canada The United States France Others Province Quebec Alberta Saskatchewan Manitoba Colombia-British Ontario New Brunswick News-Scotland Newfoundland Island-of-prince-Édouard N\A

Titrate     Madam Mister Company

Tel. 1*   

Tel. 2     

Fax     

Enamel*  

Channel of access     Former Customer Stop with ear Guide Camp-site Internet Yellow page Road panel

- desired Site -

Criterion 1    Credit Couples Single person Large family Reprocessed Sportsman Quiet    

Criterion 2    Shaded ground Sunny ground -

Criterion 3    Water, Égoût, Electricity 20 amps Water, Égoût, Electricity 30 amps Without service -     

Criterion 4    Passage tries Passage tries roulotte Passage roulotte Passage caravan Others -

Number of the ground desired  to see plane camp-site 

Avenue 1st ave 2nd ave 3rd ave 4th ave 5th ave 6th ave 7th ave 8th ave 9th ave 10th ave 11th ave 12th ave 13th ave Street of the park Principal street Street of the lake Manon

- Duration of your stay -

Holidays Seasonal Tariff Tariff week Other

 Arrival:   Day* Month* Year*

 Departure:    Day* Month* Year*

To indicate the number

 Adult * 0 1 2 3 4 5 5 and + Child*  0 1 2 3 4 5 5 and +  Convey*  0 1 2 3 3 and +

To join your message if it is necessary

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