Submit a Private Listing If you're not comfortable filling in this form, please contact Mario Galluzzo 48 Tiny Beaches Road North, Balm Beach, On. L0L 2J0 705-361-3751   or Email Us Georgianbayonline Rental Directory Please choose our Advertising special of $30.00 a $20.00 Savings [the basic rate of $30.00 + 1 Photo ($15.00) + E-Mail Link ($5.00)] Once you have submitted this form, a representative will contact you.   Name:   Please use my name in the listing   Address:   Please use my address in the listing   Telphone Numbers:   Phone #1   Phone #2   Phone #3   Location: Nearest Body of Water  (if applicable): Nearest Town:     Number of Bedrooms        Number of Bathrooms   Number of Pieces in each Bathroom   Beach & Recreation Information:   Accommodation Features:   Is Property wheelchair accessible?   Yes No   Are pets allowed?   Yes No   Are Pictures Available for Viewing?   Yes No     Months Available   Price     Basic     Special   Please choose from the advertising special of $75.00 or the basic rate of $60.00.   0     1     2     3     4   # of Additional Photos - $5.00 each   regular post     Email   Photos to be sent via: Note: If sending photos by email, please be sure to attach your photo(s) to your email. You do this by clicking the attach icon in your mail client (it's usually a paperclip icon). Images you send can be in eps, jpg, gif or tif formats. In your email, please include your name, address and phone number. Click here to email your photos now. You can then continue filling out this form.   0     1     2     3     4   # of Email/Website Links - $5.00 each Type in Email/Website Links below:   Click the Submit Button to complete this order.