Reservation Form
Print Out This Form, Fill Out, and Fax or Mail To:

Dressel's Jordan Valley Campground
3902 21st Street
R.R. #1
Jordan, Ontario, CANADA
L0R 1S0
Toll Free:1.866.526.2267
Phone: 905-562-7816
Fax: 905-562-7816
email:jvc@campingniagara.com

Please Print Clearly

NAME:
ADDRESS:
CITY: PROVINCE:
PC: # IN PARTY:
CHECK IN: CHECK OUT:
TOTAL # OF DAYS

 
PLEASE CHECK CAMPING UNIT *******
PLEASE CHECK REQUIRED HOOKUPS
MOTORHOME:  _____ NO HOOKUP:  _____
TRUCK CAMPER:  _____ ELECTICITY:   _____
TRAILER:  _____ SEWER HOOKUP:  _____
TENT TRAILER:  _____ AIR CONDITIONING:  _____
TENT:  _____

 
METHOD OF PAYMENT   (please CIRCLE one)
MASTERCARD
 AMERICAN EXPRESS ****VISA****

 

DEPOSIT ENCLOSED:________________
***One night's advance deposit is required per site, including charges for an extra person***
 
 

CREDIT CARD INFORMATION
NAME ON CARD: (*)
CARD NUMBER:  (*)
EXPIRY
DATE:_________________
SIGNATURE:_____________________________________