RESERVATION REQUEST FORM

2010 Summer Season

INFORMATION

*Mandatory

Last name *
First name *
Address *
City *
Province *
Postal code / Zip code (no space) *
Country *
Telephone number *
Fax number
Telephone number (emergency)
E-mail *

RESERVATION REQUEST

Arrival date *	DD MM YYYY
Departure date *	DD MM YYYY
Name of boat *
Length of boat *	feet meters
Width of boat *	feet meters
Electrical requirements *	30 A 50 A 100 A
Notes and comments
	characters left

Yes, I wish to receive communications from the Quays of the Old Port of Montréal.

Yes, I want to enter the « A magical Stopover at the Cirque du Soleil » contest and I have read the rules and I accept them.

**This does not constitute a formal reservation. Upon receiving this completed form, we will contact you to validate the information and confirm your reservation.
*** This does not guarantee berth availability on the dates you have specified. When confirming your reservation, we will inform you of berth availability on those particular dates.

RULES OF THE PORT D'ESCALE

Rules of the Port d'escale (PDF, 10 Ko)