Reservation form


Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home phone
E-mail

1) For wish package are you interested :

Canada Geese
Greater Snow Geese
Both

2) Are you alone or with a group?
Alone
With a group - How  many  ? 


3) Wich hunting period do you prefer?
Greater Snow Gesse (April 1st to May 15th)
Greater Snow Geese (October 2nd to 24th - Québec City region)
Greater Snow Geese and/or Canada Geese (October 24th to November 24th)

4) Where did you hear from us?
Another hunter
Magazine advertisement
Television show
Radio show
Internet
Other

           If you chose other, please specify:



Copyright © 2005 [Philippe Dupuis Guiding service]. All rights reserved.
Revised: 01/31/05