Reservation

Inscription Form

Downloadable versions of the form, to send by mail, e-mail or fax.

Online version of the form

Names

Address

Street
City
Postal code

Telephone numbers

Home
Work
Cell
Fax

E-mail

Number of persons

Rooms no(s).

Studio no(s).

Length of the stay

Arrival

Departure

Number of nights

Transportation
Mode

Plane
Cruise ship: Le Vacancier, from Montreal
Ferry : Le Madeleine, from PEI

Arrival Hour

Departure Hour

To confirm your reservation, a credit card deposit is required by
Visa ou Master Card. I ACCEPT THAT A DEPOSIT OF HALF THE PRICE OF MY STAY BE CHARGED TO MY CREDIT CARD.
The deposit is refundable up to 30 days before your arrival.
50$ ADMINISTRATION FEE WILL BE CHARGED
The balance is payable at your arrival.

Credit Card

Visa
Mastercard

- - -	EXP
- - -	EXP

Signature:

Havre-sur-Mer, Sympathetic Inn
1197, chemin du Bassin, L’Anse-à-la-Cabane
Îles-de-la-Madeleine, (Québec) G4T 0E7
Telephone : (418) 937-5675
Fax : (418) 937-2540
E-mail : auberge@havresurmer.com

Site created by KumoMedia
Photos from Thérèse Bergeron and Katerina Borovikov