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kite.breezeweb.ca
Personal Information
Name:
Address:
City:
Province/State:
Postal/Zip Code:
Country:
Phone:
Alternate Phone:
Email:
How did you hear about Kimberley Riverside Campground?
How would you like us to contact you?
Email
Telephone
Have you ever stayed at the campground before?
Yes
No
Reservation Information
Number in Party:
Adults (18 & Older):
Youth (8-17):
Children (7 & under):
RV/Camper unit/tent type:
RV/tent Length
For tents, you can put '0'
For multiple sites please describe the following for each site requested - Last name, RV type & length, # of people.
Accommodation Type
Camp site type: 2nd choice
- None -
Tenting (non service)
Tenting (with power & water)
Power & Water 15/30/50 Amp
Full Service 15/30/50 Amp
Full Service Pull Thru 30/50 Amp
Full Service 30/50 Amp with River View
Camp site type: 1st choice
- None -
Tenting (non service)
Tenting (with power & water)
Power & Water 15/30/50 Amp
Full Service 15/30/50 Amp
Full Service Pull Thru 30/50 Amp
Full Service 30/50 Amp with River View
Dates of Stay
Exact dates of stay:
I am just inquiring about availability.
I would like to book the following dates:
Arrival Date:
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2017
2018
2019
2020
2021
Departure Date:
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2017
2018
2019
2020
2021
Anything else we should know?
Comments?
Credit Card Info:
*Please note: All campsite reservations require a 1 night non-refundable, non-transferable deposit once the reservation has been confirmed. Please see cancellation policies. Our office will not process the remaining balance to your card until you arrive , however we require a CC# to confirm your reservation details. If you are not comfortable with submitting your Credit Card information on this form, you are welcome to contact us directly at 1-877-999-2929 - thank you!
Card payment
I'll call in with my credit card shortly
Please call me for credit card details at my provided number
Cancellation Policy
Please see our rates page for complete details on our cancellation policies, you can also call us directly at 1-877-999-2929 - thank you!
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