Outfitting Reservation Request
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1Outfitting Reservation Request
General Information
Name: _________________________________
Email: _________________________________
Address: _______________________________
Phone 1: _______________________________
_______________________________________
Phone 2: _______________________________
Canoe Trip Information
# Adults:
# Youth (age 3-12):
# Pets:
Arrival Date:
Bunkhouse Needed?
Breakfast Needed?
(mm/dd/yyyy)
(yes/no)
(yes/no)
Start Canoe Trip:
Tow out needed?
(mm/dd/yyyy)
Entry Point:
(yes/no)
End Canoe Trip:
Return Tow needed?
(mm/dd/yyyy)
Exit Point:
(yes/no)
BWCA (US)
Quetico (Canada)
Where do you want to go (please circle if known):
Please help with a permit
We already have our permit
Permit Status (please circle):
Alternate trip leader's name (required for permit): _____________________________________
Lightweight Aluminum
Kevlar
Canoe preference (please circle if known):
Complete Outfitting
Food & Canoe Package
Outfitting Package (please circle if known):
Equipment & Canoe Package
Food Only Package
Partial Outfitting (describe below)
Please describe below your outfitting needs:
Deposit Info
Deposit Amount: ____________ Check # Enclosed: _____________ Please Charge the card below:____
Visa/MC : _________________________________________________ Exp. Date: __________________
Name: ___________________________________________________ Sec. Code: ___________________
Billing Address: ________________________________________________________________________
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Parent category: Miscellaneous