CANOE NORTH ADVENTURES
RR#1, Orangeville, ON, L9W 2Y8
tel: 519-941-6654, fax: 519-941-4503
info@canoenorthadventures.com
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Information Form

Name:
Address:

E-Mail #
Home Phone #:
Bus Phone #:
Home Fax #:
Bus Fax #:
Emergency Contact and Number:

Type of trip you are interested in:

wilderness canoeing historic van tour
hiking horse trek
fishing artist / photography tour
Chilkoot Trail or Kluane Park

Would you like a combined experience?

When would you prefer to travel: 2003 2004 2005

June July August September

Trips are based on a 2 week package and start at $3200 (excl. airfare)

When building groups together it is extremely helpful to know your age range!
20's 30's 40's 50's 60's 70's

Would you consider additional travel on your own? yes

We recommend that you consider additional travel while up north. We can help you arrange personal travel plans before or after your Canoe North Adventures trip, i.e. Vancouver, Alaska, Yukon, NWT, Alaska, BC Ferries, Edmonton, Calgary

Do you have other travelling friends who might be interested in joining you on an adventure travel experience?

Canoeing and Camping Experience:

Hiking Experience:

Please write a description above and also indicate whether you are a:
no experience - novice - intermediate - expert

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