Reservation Request

 

Please print - Answer ALL Questions. Sign and Return to Confirm Reservation.
 

Name:

  

Telephone:
(Res.:)

(Bus.:)

Address:

  

E-mail:

  

City:

  

State/Prov.:

  

Zip/Postal Code:

  
Desired Date of Hunt:  

Date of arrival after 2 p.m.:

  

Time:

   Date of Departure before 9 a.m.:  

Time:

  
Type of Accommodation Desired:
Grand Deluxe Plan - 21' Cruiser Boat (meals) No.Days   No.persons per boat   Rate per person, US  
Deluxe Plan - 17' Lund Boat (meals) No.Days   No.persons per boat   Rate per person, US  
Fisherman's Special - 17' Lund Boat No.Days   No.persons per boat   Rate per person, US  
17' Lund/50 hp No.Boats   No.Days                                        
Guide needed on non-guided package No.Guides   No.Days  

No. In party

  
Airport Pickup Required No.People                                                
Cottage only No.People   NO. DAYS NO.persons        
Comments:

 

  

No. Of People in Party

  

Men:

  

Women:

  

Yes 

 I wish to take advantage of full payment rate.
Total Deposit Paid $  
Check    Money Order    Visa
Card No.:  
Expiration Date:  
Name: (as it appears on card)  
  

Office Use Only: Amount:

  

Date deposit received:

  

Received By:

  

Confirmation Sent:

  
Accommodation, rental and package plans are subject to tax. Please be sure to reserve the exact dates and exact number of people you wish, as you will be charged for the full time of service reserved. There are no refunds for early departures, reduction in party size, no shows or late arrivals.
All prices are subject to change without notice.
No refunds on deposits. Advance full payment discounts not good with any other discounts.
  Advance full payment discounts good only prior to April 1st of the same year of your booking.
SPECIAL NOTE:  I acknowledge that there are certain dangers and risks associated with any wilderness adventure, such as hunting, fishing and other activities offered by Lecuyer's Resort Ltd./Canada Lodge which may involve the possibility of loss, injury or damage to both my person and my property, including, but not limited to, the hazards of traveling in wilderness terrain, aircraft, hovercrafts, boating, accident or illness in remote places without medical facilities, fire, theft, acts of God, or loss of equipment.  I understand and accept all of the above conditions for both myself and any other persons in my party, and assume responsibility for, and agree that Lecuyer's Resort Ltd./Canada Lodge shall not have any responsibility for, any and all hazards, loss, damage or injuries in any way deriving from this engagement with Lecuyer's Resort Ltd./Canada Lodge.
    

Signature

                                                                                     

 Date:

  
    
Send To: Lecuyer's Canada Lodge

Year Round

 Box 55
Nestor Falls, On.
Canada, P0X1K0
1-800-201-2100

Year Round

 Box 55
Nestor Falls
Ontario, Canada, P0X 1K0
Phone (807) 484-2448
Fax (807) 484-2447

TOLL FREE 1-800-201-2100
Email: lecuyer@earthlink.net

Personal checks may be used for deposits only!
In camp, cash travelers checks, money orders, or credit cards ONLY! (Add 2.75% to bill if paying with credit card)
 

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