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  Inscription Form Modalities of Reservation
 
 

Inscription Form

 

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

Version Microsoft Word  Version Adobe Acrobat Reader
 

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

Confirmation of reservation requires a credit card deposit of the cost of your stay. Only Visa or MasterCard are accepted.
Consult the modalities of reservation web page before sending this form.

Credit Card
Visa
Mastercard
---  EXP 
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Signature:  
 
 
Havre-sur-Mer
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

E-mail : auberge@havresurmer.com
Logo of Hotel Classification
 
 
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Photos from Thérèse Bergeron and Katerina Borovikov