Please print the following form and fax to 250-276-6028 or email to elsiefehlauer@shaw.ca

 

KeriGlen Lakeview

Bed & Breakfast

 

Penticton, British Columbia

(Fred & Elsie Fehlauer)

3404 West Bench Dr.

Phone: 250-276-9370

 

REGISTRATION FORM

Your Name

 

How many in your party

 

Name(s)of members in your party.

 

Phone Number

 

Address

 

 

Country

 

E-mail Address

 

Do you wish to receive our news letter via e-mail?

Yes  ___

No   ___

Special Dates you wish to share?

 

Stay with us on your next special date and receive a complimenty gift on your next visit.

 

Birthday: ____________________

Anniversary: _________________

Other Special Occasion: ________________

 

Number of Nights:

 

Date:

What time do you want breakfast?

Please note special needs, questions or other details here:

 

 

 

 

How did you locate our Bed & Breakfast?

 

 

VEHICE REGISTRATION FORM

Type of Vehicle

License Plate

Signature

 

 
 
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