First Name:
Last Name:
Address:
City:
Zip Code:
Province:
Country:
Age:
Phone number:
Email:
Dates (for the tour):
Dietary restrictions :
Other important information: (Example : accommodation before the tour, flight number / date and time of arrival)
Age
Single Occupancy
Double Occupancy
Backpackers Formula
Amount
Adults
10 y.o. and less
Total
For any information please contact us:
Email : hameau@cooptel.qc.ca (answer within 48h) Tel.: 1-450-548-2356 (please consider the Jetlag)
751 chemin de la grotte Roxton Falls, Qc J0H 1E0, Canada
