Reservation – Check

Reservation

Fields followed byare mandatory

Please complete and send your deposit of 400.00$ in check or postal order at the name of Carlos Ruiz at the following address : 933 Gouin East Blvd, Montreal, Qc, H2C 1B2

Captain in duty : Carlos Ruiz - | - Cell : 514-946-1886


Date of the activity confirmed with Carlos : *
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Number of adults : *
Childrens under 14 years old :
Reservation made on :
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Price (based on the rates chart):

The deposit will be completely refunded if, and only if, the cancellation has been made more than 21 days before the output scheduled date. No refund of the deposit if the cancellation is made less than 21 days before the output scheduled date. In the case of a cancellation by your guide, for weather reasons, the deposit will be transfered on a further output. Valid for a period of 12 months following the output date.

In case of a prematured return for weather reasons, the rate will be adjust in consequence.

In case of a prematured return for other reasons (sea sickness, etc.) at the client's request, the full rate will apply.


Coordinates of the complete group

Representative of the group

Full name : *
Full Address : *
Home phone : *
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Mobile phone :
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E-mail : *
Contact in case of emergency : *
Phone of the contact : *
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Family tie with the contact : *
If you or a group member got a particular health condition, Please identify it here :

Other group members

Full name :(1)
Home phone :(1)
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Mobile phone :(1)
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E-mail :(1)

Full name :(2)
Home phone :(2)
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Mobile phone :(2)
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E-mail :(2)

Full name :(3)
Home phone :(3)
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Mobile phone :(3)
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E-mail :(3)

Full name :(4)
Home phone :(4)
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Mobile phone :(4)
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E-mail :(4)

Full name :(5)
Home phone :(5)
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Mobile phone :(5)
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E-mail :(5)

Full name :(6)
Home phone :(6)
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Mobile phone :(6)
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E-mail :(6)

Full name :(7)
Home phone :(7)
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Mobile phone :(7)
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E-mail :(7)