All places with a (*) are obligated

Last name*
First name*
Address*
City/Town*		Province/State*
Country*		Postal code*
Telephone*		Fax
Email*
Commentaries and/or questions

	AAAA/MM/JJ		AAAA/MM/JJ
Arrival date*		Departure date*
Arrival date		Departure date
Arrival date		Departure date
Arrival date		Departure date

Type of site wanted*
Nomber of services	Open areas	Wooded areas

Campsite number wanted Plan
Tent or trailer Tent Trailer tent RV Camionette Length
Do you have a lateral extension slide out Non Oui

Number of adultes Number of children

Travelling with animals	Type of animal
No Yes	Number of animals