For best results: Set View Size to "Medium, Highlight Box and Print Selection.


I, ________________________________ authorize Royal Bed and Breakfast,

to charge the amount of ______________________________(Canadian Dollars)

Re reservation Date: _________________________ for the following services:

(check one option below)
___________ 50% deposit to hold reservation (at time of booking reservation)

___________ Balance on account due (30 days prior to arrival date)

  to my:    
    _____Visa, ____Mastercard,
    _____Amex, ____Diners/Enroute.




Card #_________________________________ expiry date:________________

Cardholder Signature:_______________________________________________


I/we are aware of any cancellation policies as outlined at

and agree not to dispute or attempt to Chargeback any of the above signed for

and acknowledged charges.

Cardholder initial