Hotel Motel Coconut Trois Rivières Mauricie Québec

Reservation Form

To submit a reservation for wich the arrival is planned for the next 48 hrs,
please reach us on our toll free number: 1-800-838-3221 (in Canada only)
or at 1-819-377-3221 to make your reservation.

Thank you and we hope to welcome you very soon in our hotel!

Family name	Name
Address	Company
City	State
Country	Postal code

Phone

Home:

Office:

Fax:

E-Mail
ex: name@name.net

Bedrooms Types

1 King Bed - Tahiti Suite
1 King Bed - Luxurious Room
1 Queen Bed - Luxurious Adapted Room
1 Queen Bed - Luxurious Room
1 Queen Bed - Large Room
1 Double Bed - Large Room
2 Doubles Beds - Standard Room
2 Double Bed - Large Room
2 Queen beds, 2 Sofa Beds - Luxurious Family Size Room

Types of Packages:

House Packages
Romantique Gateway
Room and Breakfast
snowmobile
Museum
Aloha

Packages 1 or 2 Nights with one activity only or Entertainment
Cruise M/V Draveur
Escapade culturelle
T'estimo
Éclips
Théatre des marguerittes
Varia Cabaret Équestre
Golf

Pakages 1,2 or 3 Nights With Serveral Activity and / or Entertainments
Riverain
Citadin
Trifluvien
Chemin du Roy
TRès Cool
TRès Rigolo
TRès Coquin
TRès Gourmand
TRès Mémorable

***
To make a reservation for a package including activities
and entertainment, please contact us directly
using our toll free number at 1-800-838-3221

Arrival date: YYYY / MM / DD	Departure date: YYYY / MM / DD
No of nights
No of adults
No of children
Ages of children
Travel Agency	Special request


Credit card (necessery) If you do not wish to give your credit card number over the net you may reach us directly by phone on our toll free number 1-800-838-3221
Credit card no Expiration date

Type

Visa
MasterCard
American Express

Cancellation policy

7531 Notre Dame
Trois-Rivières (Québec)
G9B 1L7

Phone: 819-377-3221
Toll free: 1-800-838-3221
Fax: 819-377-1344

e-mail
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