Niagara Vacation Rentals Reservation Request Form
To request a reservation simply print this form, fill it out and fax it back to us at
905-357-9526. Thank you in advance for your interest in Niagara Vacation Rentals.
Last Name: ______________________________
First Name: ______________________________
Zip/Postal Code: __________________________
Home Phone: ____________________________
Business Phone: __________________________
Email address: _____________________________
Convenient time to be called: _________________ at HOME# or BUSINESS#.
Desired date of departure: ___________________
Desired date of return: ____________________
Number of persons planning to go: _______________
Please mark an “X” next to your preferred Motorhome/Trailer size below.
Tent-Trailers 8’ Trailer 10’ Trailer 12’ Trailer
To have your reservation guaranteed we require a Reservation Deposit of $250 for
Motorhomes and $150 for Tent Trailers.
Note: The Reservation Deposit will only be charged to your credit card if your desired
booking dates are available. Otherwise we will call you at your convenience to
determine an alternate booking date. Prices are in Canadian Dollars (CDN $). Your
credit card company will determine exchange rates on the date of transaction on your
Please circle a payment type:
Credit Card Number: ___________________________________________________
Expiry Date: __________________________________________________________
Name on Card: _______________________________________________________
I hereby authorize Niagara Vacation Rentals to charge to my given credit card a total of
$250CDN for a Motorhome rental, or $150CDN for a Tent-Trailer rental. Furthermore, I
understand that if I cancel the reservation 90 days or less prior to the departure date I
will not receive a refund for my Reservation Deposit. (SEE OUR COMPLETE
CANCELLATION POLICY AT THE LINK “Terms and Conditions” ON OUR WEBSITE)