The Waterloo Inn Reservation Request Form

This form will be e-mailed to our "Reservations Department". When your request is processed, you will receive a confirmation number. Please allow 48 hours of processing time.  To make your reservation over the telephone, please call 1-800-361-4708.
*The red fields must be filled for this request.
Customer Information
First Name*:
Last Name*:
Phone #*:
Business Phone#:
E-Mail Address*:
Mailing Address:
Street address:*
Address (cont.)
Zip/Postal code:*

Without a guarantee with a credit card number, reservation will only be held until 4:00 PM on day of arrival.

Credit Card: Visa    MC    AMEX    DISCOVER    DINERS  JCB 
Credit Card #:
Expiry Date:
Check-in begins at 3:00 PM Check-out 12:00 Noon

Room Information
Arrival Date*:
Departure Date*:
Room Type*: 1 Queen Size Bed   2 Queen Size Beds 
Non-Smoking Preferred
Number of Rooms*:
Number of Adults per Room*:
Number of Children per Room:
Request Negotiated Rate for Company

Special Requests