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Request for Quotation:

Name:    
Address:   
City: Prov/State:
Country: Postal Code/Zip:
Home Tel #:
Work Tel #:

Have you previously been our Guest? If so, when?:

I am interested in:    (A) Black Bear Hunting:  (B) Bird Hunting:
                 (C) Spring Salmon Fishing: (D) Bright Salmon Fishing:

E-Mail Address:

No of persons in group:
How many days would you be interested in staying with us?:
Expected Arrival Date:      Departure Date:

Would you be interested in a DVD on
our Lodge and Services offered?           YES     NO

Any Comments or Questions:
.


NOTE: All sections above must be completed for a proper quote to be given.

Miramichi Inn
1100 Halcomb Road,
P.O Box 331
Red Bank, New Brunswick Canada E9E 2P3
Telephone: 506 836-7452   
Fax: 506 836-7805
E-mail: mirainn@nbnet.nb.ca
WebSite: www.BlackBearHuntingNewBrunswickCanada.com

page revised July 2 2008