BEL HAVEN PADDLESPORTS
TRIP RESERVATION/QUOTE FORM
The 2012 River Trip Season is SUSPENDED.
This includes ALL rentals, transports, self pick-ups and state or private delivers.
CONTACT/GROUP LEADER
Last Name:
*
First Name:
*
Organization & Location:
Tax Exempt (If Applicable)
#:
Street Address:
City:
State:
Zip Code:
Email Address:
*
Home Phone #:
*
Cell Phone #:
*
Work Phone #:
Fax #:
Total # in Party:
*
# of Adults:
# of Children (Over 5, Under 18:
Choose either a Day or Overnight Trip (select one)
*
Day Trip
Length of Trip:
2 hr
3-4 hr
5-6 hr
Day of Week:
Select a day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Date:
Overnight Trip
Day of Week:
Select a day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Date:
Rentals
# of Canoes:
Kayaks
# of 1 Man:
# of 2 Man:
# of Tubes:
PFD's
Small(s) (20-40lbs):
Medium(s) (41-89lbs):
Large(s) (90-179lbs):
X-Large(s) (180 Plus lbs):
Private Boat Transports
# of Canoes:
Kayaks
# of 1 Man:
# of 2 Man:
Message/Question:
Try A Different Equation
*
*
Required information.
*Please note submitting this form does not constitute a final reservation.
Bel Haven Paddlesports will contact you for trip options and scheduling.