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:

  

Date of arrival after 2 p.m.:

  

Time:

   Date of Departure before 9 a.m.:  

Time:

  
Type of Accommodation Desired:

Package Rate     Adult     Jr.     Child  

Duck Hunting, Grouse Hunt
Bear Hunting
Bushland Island Deer Hunt
Farmland Deer Hunt
Trophy Moose & Deer Hunt
Trophy Moose Hunt
Trophy Timber Wolf Hunt
Airport Pickup Requires
F
U
L
L
Y		 G
U
I
D
E
D
No. of Days   
No. of Days   
No. of Days   
No. of Days   
No. of Days   
No. of Days   

No. of days

  

No. of persons   
No. of persons   
No. of persons   
No. of persons   
No. of persons   
No. of persons   

No.of persons

  
Rate per person, US   
Rate per person, US   
Rate per person, US   
Rate per person, US   
Rate per person, US   
Rate per person, US   

Rate per person

  
   
Hunting Weapon Used:  
Rifle   Shotgun  

Bow   Muzzleloader

No. Of People in Party

  

Men:

  

Women:

  

16-20):

    

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 Provincial and Federal sales taxes. 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 late arrivals, early departures or reduction in party size.
H.S.T. rebates available! 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 offer, good only prior to April 1st on the year trip taken
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./Tru-Tail 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./Tru-Tail 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./Tru-Tail Lodge.
    

Signature

                                                                                     

 Date:

  
    
Send To: Lecuyer's Canada Lodge

Jan. 1st; - April

 Box 249
Morocco, IN
U.S.A. 47963
Phone (800) 201-2100

April 1st - Jan. 1st;

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

TOLL FREE (U.S. Only) 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 4% to bill if paying with credit card)
 

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