Canoe Canada: Canoeing: Reservation Form



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Reserve An Outfitting Programme

This is a Reservation for:

Would you prefer Partial Outfitting 


* = Required Fields
Personal Information
First Name   *
Last Name   *
Address   *
City   *
State / Province   *
Zip / Postal Code   *
Phone   *
Fax
Email Address   *


Second Person
First Name
Last Name
Address
City
State / Province
Zip / Postal Code
Phone
Fax
Email Address


Party Information
Arrival Date
Date Trip Starts
Date Trip Ends
Total in Party
Number of Adults
Number Under 16 yrs.

Accommodations
Accommodations Beforehand
Accommodations Afterwards


Method Of Payment
Deposit Total
($100 per person)
  *
Payment
(Select one please)
I'm sending along a check by mail.
Credit Card Online [Not Secure]
I'll fax my credit card number (807-597-5804).
I'll call you to give my credit card number.


Credit Card Online [Not Secure]
Credit Card Type
Credit Card Number
Expiration Date  [ mm/yy ]


We Heard About Canoe Canada
Please take a moment to tell us how you found us.
If “Other”, please specify


We Will Reserve It For You
For all trips into Quetico Park, a travel permit is required. Please indicate the number of youth, adults and check the entry point desired. You may also check “any entry point” and we will choose one for you.
Adults
Youth (6-17 yrs.)
Under 6 yrs.


Entry Point
Where would you like to enter the Quetico Park


Equipment Insurance
We do not charge for equipment damaged through normal use and ordinary wear. However, if equipment is damaged or lost through carelessness or accident, there will be a charge to cover the cost of repair or replacement. We offer equipment insurance at $2.00 per day, per person.
Would you like Equipment Insurance?


Question or Comments
Do you have any additional questions or comments?


Important Information

We require a non-refundable deposit of $100/person upon receipt of reservation.

Please make deposit checks payable to:

Canoe Canada Outfitters
300 O'Brien Street,
P.O. Box 1810,
Atikokan, ON P0T 1C0
Phone: 807-597-6418
FAX: 807-597-5804
canoecanada@nwon.com