Kingfisher

Dark Red Antler's Kingfisher Lodge Logo

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Hunting/Fishing Reservation Form
Print this Form and mail it with your Deposit or Fax it to us with Credit Card information
 Fax:  705-747-0035


Date:  _______________________________________________________________________
Name:  ______________________________________________________________________
Address:  ____________________________________________________________________
City: ______________________ Prov./State:___________   Postal Code____________
Telephone: (Res): _______________________ (Bus):____________________________
# of Hunters:________ Fishing Only: _______ Rifle Hunters: _____ Bow Hunters: ______
# Adults: _____  #Children______ Deposit Enclosed:______________________
Arrival Date:  ___________________ 3 p.m. Departure Date: _________________11 a.m.
Credit Card#:__________________ (  ) Mastercard  (  ) Visa Card Exp Date:__________
Comments:___________________________________________________________________

Office Use Only

Cottage:_____________  Deposit: ____________ Rec.#:_______ Confirmed:___________