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Cancellation Policy
  First Name  
  Last Name  
  Organization  
  Address  
  City  
  State/Province  
  Postal/Zip Code  
  Country  
  Work Phone  
  Home Phone  
  Facsimile  
  Email  
  Date of Arrival  
  Arrival Time  
  Date of Departure  
 

 
    Smoking Room (standard or deluxe only)
Non-smoking Room		  
 

 
  Type of Room
Standard
Deluxe
Suite

 
 

 
  Special Requests
 
    If more than one room is required,
please specify in Special Requests.		  
 

 
  Reservation Guarantee  
  Credit Card  
  Cardholder Name  
  Card Number  
  Expiration Date  
 

 
 
If you do not wish to send credit card information via the Internet but would like the reservation guaranteed, feel free to fill in this form, print the page and then fax it to the Listowel Country Inn Motel at (519) 291-5868.
We will respond to your reservation request in a timely manner.		  
 

 
 
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