KayakJim.com: Pre-Registration Form

Pre-Registration Form

Please fill out this form for pre-registration purposes. If you'd prefer you may print this out and fax or mail it to us at the address at the bottom of this page.

Name:
E-mail:
Address:
City:
Province/State:
Postal Code / Zip:
Work Phone:
Home Phone:
Fax:
Tour:
Requested Date:
Height:
Weight:
Previous Kayak Experience:
Dietary Restrictions:

Eastern Edge Outfitters Ltd.
93 St. Thomas Line
Paradise, Newfoundland, Canada, A1L 2P9
Phone: (709) 782-KYAK (5925)
Fax: (709) 773-2201 / e-mail: kayakjim@nfld.com