Reservation Form
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Canoe Passage Outfitters Dean’s Plaza 407 Rt. 44 Raynham, MA 02767 |
Phone: 508-824-1146 Toll Free: 800-689-7884 Email: PalmerRiver@hotmail.com Website:
palmerriver.tripod.com |
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Leader’s Name ___________________________ Address _________________________________ City _______________________ State ___ Zip ________ Home Phone ______________________ Work Phone ______________________
Would you like a: _River Trip? (We shuttle you up river, give you safety and paddling instructions, and you paddle back to our base) _Direct Put in? (We put you in at our Raynham base, and you paddle out and back) _Drive Away? (We put the boat on your car, and you drive it to your own site) _Overnight Trip? (Same as the River Trip, except you camp overnight) Trip Start Date __________ Trip Start Time ____________ Length of trip requested _________ No. days on the water ____ Guided _ Unguided _ Trip End Date ___________ Trip End Time ____________
No. Adults__ No. Children 6-12 __ No. Under 6 __ No. Canoes __ No. Single Kayaks __ No. Double Kayaks __ No. Touring Kayaks __ Tell us anything that we may need to know about you and the trip (special equipment, shuttle service, experience level, what would you like to see and do)
Deposit amount: $________ Credit Card Number _______________________ Expiration Date ______ Name On Card _____________________ I authorize the above charges to my credit card. Signature and
address of cardholder: ______________________________________________________________ |
