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Request for Reservations Form

(To request reservations, please provide as much information below as possible.)
(We cannot guarantee reservations, until you receive a confirmation email or letter from us.)


First Name:..............
Last Name:..............
Address:..................
City:........................
State:.......................
Zip/Postal Code:......
Email Address:........
Phone:.....................
Dates of River Trip..
Dates of Stay...........
Number in Party:......
ETA Virgelle:...........    A.M.    P.M.

Type of River Trip (Outfitting) Service Requested:

Number of people:  Complete Guided Expedition (50% Reservation Deposit)
Number of people:  Unguided, Fully Outfitted ($150.00/person Reservation Deposit)
Number of Canoes: Canoe Rental Only ($35-$45.00/Canoe Reservation Deposit)

Type of Shuttle Service Requested:

Shuttle needed Before River Trip     After River Trip

From: Great Falls Airport    Havre Amtrak;    Loma (Wood Bottom)
           Coal Banks Landing (Virgelle)    Judith Landing    Kipp Recreation Area

To:      Great Falls Airport    Havre Amtrak;    Loma (Wood Bottom)
           Coal Banks Landing (Virgelle)    Judith Landing    Kipp Recreation Area

Type of Accommodations Services Requested:

           Bed & Breakfast Room(s) ($95.00/room Reservation Deposit)

           Homestead Cabin(s) ($40.00/person Reservation Deposit)

Comments/Details/Special Requests:


 
  
Please click in the clear box above and type the number you see in the black box to the left...and,

Next click the submit button below.

 

 

Virgelle Mercantile
7485 Virgelle Ferry Road North
Loma, MT 59460

1 406 378 3110
Toll Free 1 800 426 2926



 

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Copyright © 2008. (Virgelle Merc-Canoe Co., Inc.)  All rights reserved.
Revised: 07/04/08