Birch Island Resort Reservation Form
Full Name
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Email Address
*
Address
*
City
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Province/States
*
Country
*
Canada
United States
Argentina
Bahamas
Barbados
Belize
Bolivia
Brazil
Chile
Columbia
Costa Rica
Cuba
Equador
French Guiana
Gayuna
Paraguay
Peru
Venezuela
Zip/Postal Code
*
Phone Number
*
Fax Number
Arrival Date
*
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To
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We have pulled out some specific types of accommodations from the ranks below to help you choose those you might expect to use during your stay. Please check all that apply:
*
American Plan All Inclusive Fishing
American Plan Unguided Fishing
Bear Hunting All Inclusive
Bear Hunting House Keeping
Deer Hunting All Inclusive
Deer Hunting House Keeping
Number of Persons in Party
*
1 - 5
5 - 10
10 - 15
15 - 20
20 - 25
25 - 30
30 and above
How did you hear about us?
Word of Mouth
Referral
Magazine
Google
Yahoo
MSN-Live
AOL
This is my first visit to Birch Island Resort:
Yes
No
Comments
Security Code:
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Copyright © 2010-2011. Birch Island Resort. All rights reserved.
Home of the best trophy Musky, Walleye, Smallmouth Bass and
Pike fishing in northern Ontario, Canada
Website Developed by:
Ariel Mogan
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