TRIP APPLICATION

PRINT THIS FORM

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% to make reservation) . 

Deposits Are Non-refundable      

 Name: (print clearly)___________________________________Signature_____________________________________

 Address__________________________________City:_____________________________State:_________Zip:__________

 (Telephone):_______________________________________(Email:)___________________________________________

 For additional information please call (207) 448-3238.           Wilderness Escape, P. O. Box 10, Danforth, ME 04424