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Name Address Country Postal/Zip Phone (Home) Phone (Work) Cell Fax Email Number of nights Arrival Date Departure Date Number of adults Number of children (infant - 16 years) Number/type of pets Special needs / Questions: Rooms Required Rate B&B Double B&B Twin Suite Number of nights Total IF SENDING BY FAX, PLEASE COMPLETE THE FOLLOWING Mastercard Visa Amex Card # Expiry date Signed
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All cheques to be payable to: Clare McDuff
Mail to: 185 Horel Road West, Saltspring Island, BC, V8K 2A4, Canada
We look forward to your visit.