Reservation Request Form

Please Note: the information you provide will be used to request a reservation only. All requests will be acknowledged. A valid VISA or MasterCard and Expiry Date are requested in the form below to expedite your request, but does not guarantee your reservation.

The Swan Motel's season runs from May 11 - October 22, 2017 (last booking date.) .

All rooms are non-smoking. No pets permitted.

(Note: Fields marked * are required.)
  1. *First Name:
  2. *Last Name:
  3. *E-mail:
  4. *Phone:
  5. *Street:
  6. *City:
  7. *State/Province:
  8. *Zip/Postal Code:
  9. Country:
  10. Type of Room:
  11. Number of Rooms:
  12. Arrival Date:
  13. Departure Date:
  14. Length of Stay:
  15. Number of Guests: Adults Children
  16. Other Requests:
Credit Card Information

We accept
  1. Card Type:
  2. Card Number:
  3. Expiry Date:
(Reminder: Submission of this form does not guarantee your reservation.)


If you have difficulty submitting this form, please call us directly at 519-271-6376 or send an email to

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