TRIP APPLICATION

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Type of Activity(Fishing/Huntin/Family Vacation________________________________Date:___________Thru___________ Number of People in party: Adults_______Children (under age 16)_____Guide Service Requested: _____Yes____No Deposit enclosed of:_____________($200 for deer, $400 for bear, all others 40%) Personal checks accepted for reservations only. Balance payable upon arrival by cash, certified or bank check. Deposits Are Non-refundable Name: (print clearly)___________________________________Signature_______________________________________________ Address__________________________________City:_____________________________State:_________Zip:___________ Telephone (Daytime):_______________________________________(Evening):___________________________________________ For additional information call (207) 448-3238.           Wilderness Escape, P. O. Box 10, Danforth, ME 04424

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