Wedding / Group Accommodation Reservation Form

    Date of Function:*:

    Wedding/Group Name:*:

    Guest Name:*:

    Home Address:*:

    Apt./Unit:

    City*:

    Prov/State*:

    Postal Code/Zip*:

    Email*:

    Phone:*:

    Cell*:


    NOTE: ACCOMMODATION: TO BE ASSIGNED BY FAMILY OR ORGANIZATION

    Notes/Special Requests*:

    In Box Below, Please Advise Of*:

    Arrive*:

    Depart*:

    No Cancellation:

    Pay Details:

    # OF ADULTS x $360:

    # OF CHILDS (UNDER 7):

    # OF YOUTHS (8 TO 18):

    # OF CHILDS (UNDER 3):


    TOTAL PAYMENT WILL BE EMAILED TO CONFIRM BOOKING

    Payment Option: Click Here Clover or Click Here for e-transfer

    E-transfer - from Canadian bank accounts only. Please send an e-transfer to payments@portcunningtonlodge.com and create the password of "PCL 1890". Include your Name, Date of Function in the memo section.

    Complete section below allowing us to place a deposit on your credit card for a Damage / Cleaning Fee if necessary and to apply any in room charges or on property purchases occurring while enjoying your visit on site.

    Damage / Cleaning Fee $500:


    Preferred Credit Card: Mastercard, Visa #*:

    Expiry*:

    CVC/CVV*: