For reservation information, please fill out the form below and click submit. We will contact you to confirm your reservations.
*
Represents required field.
Name:
*
Address:
Phone:
*
Fax:
Email:
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I wish to be contacted by:
Email
Phone
Fax
Letter
Arrival date:
Month:
Jan
Feb
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Dec
Day:
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Year:
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Arrival Time:
Hour:
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Departure date:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
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Oct
Nov
Dec
Day:
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Year:
2002
2003
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2009
Number of adults:
1 Adult
2 Adults
3 Adults
4 Adults
Number of children:
No Children
1 Child
2 Children
3 Children
4 Children
Number of rooms with 1 Bed:
0
1
2
3
4
5
Number of rooms with 2 Beds:
0
1
2
3
4
5
Please Note:
We require your Credit Card information to hold the room.
Master Card
Visa
Credit Card #:
Expiry Date:
Name on Card:
We hope to see you soon at the Silver Maple Motel.
Designed & Maintained
by Kawartha Graphics