First Name:

Last Name
Phone Number
Fax Number:
E-mail:

Address:
Street Name / City / Province Postal Code / Country
Type of Accommodation:
Number of Nights:
Arrival Date (mm/dd/yy):
Remarks:
Please note that upon confirmation of your reservation you will supply payment information. This form will not be used to transact any credit card information.

 


E-mail: reservations@thestratfordmotel.com
Phone: (867) 667-4243
Fax: (867) 668-4245
4th Ave & Jarvis St
Whitehorse, YT
Canada