Please Note: Sending this form does not constitute a reservation. You will receive a follow up contact regarding billing & confirmation from us! Please be sure all of your contact information is correct, otherwise we will be unable to contact you.

Please fill out the following form to request a booking. A sales representative will contact you to confirm your booking.

A live attendant is available
Mon - Fri
7:00 am - 3:00 pm PST

Or call us Toll Free at 1-800-663-7001
or locally: (250) 388-5111

(* Indicates required fields)

*Name:
*Full Email Address:
Organization:
*Address:
*City:
*Province/State:
*Postal/Zip
*Country:
*Phone Number:
Fax Number:
How did you hear about us?
*Check in date
*Check out date
*# of Adults
# of Children Age10-17
# of Children Age 4-9
# of Children Age 3 & under
Total number of guests
*Please indicate preference (subject to availability):
		Guestroom
		One Bedroom Suite
		Governor's Suite
		President's Suite
Additional Comments:
Please contact me with Executive House Hotel promotions and special events.