Request for Information

PINEWOOD MOTEL
P.O. Box 295
Radium Hot Springs, British Columbia
Canada V0A 1MO

Your Hosts: Dale & Vivian Genest

Toll free: 1-888-557-5567
Phone: (250)347-9529   Fax: (604)677-6673
Email:  pinewoodmotel@radiumhotsprings.com

 Pinewood Motel



About you:
Name: 
Email: 
Address: 
City:    Prov/State: 
Country:    Postal Code: 
Phone:  Fax:  

Your Room Preferences:
Arrival Date:    Number of Nights: 
Number of People in Party - Adults:    Children: 
Type of Room:     
Special Requests or Comments:
Please Note: This form is a request for information on room availability only and does not constitute a confirmed reservation. To confirm your reservation, please provide credit card information below.


Reservation Confirmation:
Visa,  MasterCard or American Express  required to confirm reservation:
Card Number:  Expiry Date: 
Your reservation will be confirmed by return email subject to room availability.

If you are uncomfortable sending credit card information over the Internet,
Please call Toll-free: 1-888-557-5567(North America) or 1-250-347-9529 or Fax: (604)677-6673



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