Please take the time to fill out this Contact and Reservation form as completely as possible. This will allow us to better serve you.
CONTACT INFORMATION
* Denotes a required information field. Please fill in these fields.
Name *:
Address *:
City : State : Zip :
Work: Home: Cell:
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Privacy Policy
TRAVEL & ACCOMODATION INFORMATION
Arrival Date: Departure Date:
Number of people in your party:
Number of children under 12 in your party:
Please select an American Plan, Housekeeping Plan or Special plan: Select a Plan, Special or Gift Certificate Fly-Out Fishing Adventure American Plan All-Inclusive American Plan All-Guided American Plan American Plan Special Deluxe Housekeeping Plan Housekeeping Plan Housekeeping Special Anniversary Package Fishing Vacation Gift Certificate - 10% Discount Gift Certificate - $100 Gift Certificate - $250 Deer Hunting Package Black Bear Hunt Package Bird Hunting Package Hunting Combo Package Fully Guided Deer Hunt Package Semi-Guided Deer Hunt Package Do it Yourself Vacation Package
If you would like to add a Meal Plan to your Housekeeping plan or Specials other than American Plans please make the selection below: Select a Meal Plan European Meal Plan Modified American Meal Plan Full American Meal Plan
Select preferred number of bedrooms for your accommodation: Select accommodation 1 Bedroom 2 Bedroom 3 Bedroom
EQUIPMENT & GUIDE INFORMATION
Please select the equipment you would like to have available for your stay.
Boat: Scorpion 16' , Deluxe 16' Classic I'll be bringing my own boat and will need docking:
Yes, I would like Guide Service: Number of days Guide is required:
ADDITIONAL INFORMATION
Send me your latest Brochure and Rate Sheet:
Send me your Newsletter and add me to your email list:
Contact me with more information about the Fly-Out Package:
Send me information and pricing on your 2007-2008 Specials :
How did you hear about us? AOL Search MSN.COM Search Google Search Yahoo.com Other Internet Search Direct Mail Advertising Magazine Advertisement From a friend Travel/Sports Show Kenora Whitetail Adventures Noto Sunset Country Taylor in the Rough Hunting Show Other
Comments, questions and suggestions. We would love to hear from you!:
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Rate Notice: All rates / prices are quoted in U.S. Funds subject to change. Effective as of August 1, 2007, ***Due to the fluctuating rate of exchange, our US prices are based on a 1.15% exchange rate. Example $100 US = $115 Canadian. Appropriate exchange rate will apply upon payment of final bill.***
White Pine Lodge Hosts & Owners Jim & Jody Palmer
Toll free year round reservations 1-877-325-4274
Box 324, Sioux Narrows Ontario, Canada POX 1NO Phone & Fax: 1-807-226-5267
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