MuskokaRentalCottages.com

“SERENITY @ SHORESIDE”

2012

BOOKING FORM

65 Harbour Square, Suite 2502, Toronto, Ontario, Canada, M5J 2L4

Phone: 416-239-6860; Toll Free: 1-888-239-6860; Cell: 416-464-1393; Fax: 416-239-1037 Website: Email:

** Save this Booking Form on your computer, complete and EMAIL or FAX**

Cottage Requested: “SERENITY @ SHORESIDE”

Check In Date: Saturday: , 2012 (3pm)

Check Out Date: Saturday: , 2012 (11am)

Applicant's Name:

Address:

Phone : Home: () Work:() Fax: () Cell: ()

Email Address:@.

No of Adults to Occupy Cottage: Children:

Pets (Please Specify):

Occupation of Applicant: Age of Applicant: Date of Birth:

Applicant Employed By:

Length of Employment:

Visa or Mastercard Number: --- Expiry Date: /

Name & Addresses & Phone #'s & E-mail Addresses of all Adults in Party:

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“Shoreside” Rental Cost: 1234 week(s) @ $ / wk / $
“Shoreside” Housekeeping Service:(At end of Vacation) / $ 200.00
Sub Total: / $
Taxes (13%): / $
Sub Total: / $
Other Costs / Charges (If Applicable): / $
Total Rental Cost : / $

Total Rent Cost Payable by Post-Dated Cheque, Visa or Mastercard as follows:

A. Initial Deposit Payable at time of Booking (25%):$ //

B. Additional Deposit Payable 30 days later (25%): $ //

C. Balance Due (30 days prior to rental start date): $ //

D. Security/Damage Deposit on the Check In Date:$ 500.00 //

The Applicant hereby acknowledges full responsibility for the Cottage and all contents & equipment, excepting only normal wear and tear, and agrees to abide by the Cottage Booking Terms & Conditions on our website that form part of this Booking Form.

Security/Damage Deposit to be held by Owner relating to damages, excessive cleaning required, long distance phone or satellite charges, or other charges not covered by the Rental Cost. Security/Damage Deposit (after any deductions) will be repaid to Applicant after vacating the Cottage in a good and clean manner and in accordance with the Booking Terms & Conditions.

DISCLAIMER OF LIABILITY

The Cottage Owner, South Muskoka Realty Ltd, Broker, operating as South Muskoka Realty Cottage Rental Service (SMR) and MuskokaRentalCottages.com (MRC), or its employees or agents will not be liable whatsoever for any loss or any injury to Holidaymakers, or any damage to the Holidaymakers property, however the said damage, loss or injury may be caused, whether by any act, omission, breach of contract or negligence or any other cause on the part of the Owner, SMR, MRC or its agents. Use of the Cottage and all Furniture and Effects, including the use of boats, is at your own risk.

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Applicant's Name & Date of Submission

Booking Will Be Confirmed in Writing by Owner

Owners Signature / Date

By the Applicant completing & submitting this document electronically, this Booking Form contains the same legally binding responsibilities as if this Booking Form was printed, signed and sent in hardcopy.

The Booking Terms and Conditions on the web site ( are attached and form part of this Booking Form.