Reservation Form ( To print form: click on file, drag down to print. )
Please mail this form to:
The Moose Bay Company
P.O. Box 697
Ely, Mn 55731 Quick reservations Visa or MasterCard 1-800-241-1975
Head of Party: 2nd Person in Party:
Name _____________________________ Name _______________________________
Address ___________________________ Address _____________________________
City _______________________________ City _________________________________
State ____ Zip _______________________ State ____ Zip _________________________
Email address _______________________ Email address _________________________
Phone number _______________________ Phone number _________________________
Date of Arrival: _______________________ Time: _________________________________
Number in Party: Adults ________________ Childern _______________________________
Date Canoe Trip Begins: _______________ Ends:_________________________________
Alternate Dates: 1st __________________ 2nd __________________________________
Travel permit needed: ___ U.S. ___ Canada Limousine service: ___ Yes ___ No
Outfitting Desired: ___ Guided Lodge Package ___ Cabin Package ___ Housekeeping Cabin
___ Deluxe Guided Fishing Camp ___ 6 Day Trek to Crooked Lake ___ 5 Day Wilderness Trip
___ Deluxe Basswood Package ___ Superlight Package ___ Complete Lightweight ___ Kevlar Light
___ Deal # 1 ___ Deal # 2 ___ Deal # 3 ___ Guided Day Trip
Private lakeside accommodations: ___ Before Trip ___ After Trip
Tow Service: ___ Ensign ___ Birch ___ Prairie Portage ___ Washington Island ___ Back Bay
Deposit Enclosed: $ ___________ ( Per Person: Partial $50, Outfitting $100, Guided Trips $500 )
50% deposit refunded for cancellations 90 days in advance. No refunds on cancellations less than 90 days prior to trip date. Service charges: cancel trip $50, permit change $50, permit reservation $40 plus fees, credit card fee 3%.
If you have questions please give us a call at 218-365-6285