Your Booking

Programme: 7 DAY FORGETMENOT RIDE 10 DAY KANA. LONGRIDER WEEKEND EXPLORER CUSTOM TRIP HIGH PLAINS DRIFTER SADDLE + PADDLE MOUNTAIN PRAIRIE COMBO CATTLE TRAIL SOUTH CATTLE TRAIL NORTH CATTLE TRAIL BOTH WAYS _______________________

From: To:

First Name: Last Name:

Age: under 12 12 - 19 20 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 and over Height: Weight:

male female

Your Address:

Street or PO Box:

PC / ZIP: City:

Prov./State: Country:

How can we contact you?

Day Phone: Evening Phone:

Fax: Email:

If you are part of a group please provide:

Group Name:

Group Leader:

Please describe your experience level around horses and/or other outdoor activities:

Do you currently have any physical health problems such as, diabetes, heart disease, epilepsy, high blood pressure, or any active communicable diseases such as hepatitis, tuberculosis, typhoid, HIV+, AIDS, etc.?

Yes No

If yes, please give details (symptoms, their severity, duration, reccurrences, treatment).

Do you have or have you ever had any mental health problems such as, significant depression or anxiety, panic attacks, manic depression, schizophrenia, etc.?

Yes No

If yes, please give details (symptoms, their severity, duration, reoccurrences, treatment).

Please enter any dietary or other requirements:

Do you need any gear from us?

sleeping mat

sleeping bag

duffel bag

rain gear

Have you previously been on any trips or day rides at M & M Ranch?

Yes No When?

A Deposit of 30% is required to make reservation.

Deposit for 7 Day Forgetmenot Ride $ 475,- 10 Day Longrider $ 675,- Weekend Explorer Ride $ 275,- Highplains Drifter $ 685,- Saddle+Paddle $ 880,- Mountain Prairie Combo $ 700,- Cattle Trail South $ 650,- Cattle Trail North $ 650,- Cattle Trail both ways $ 1.200,- Custom Trip 30%

Please choose your prefered payment

Credit Card

Traveller Cheque

International Money Order

Cheque (drawn on Canadian bank)

With Group

Credit Card

Card type VISA Master Card

Card number Name on card

Valid until Jan Febr March Apr May Jun Jul Aug Sep Oct Nov Dec 2009 2010 2011 2012 2013 2014 2015

Personal information is kept in strict confidence and will be only used by the ranch to ensure your trip is as safe and enjoyable as possible.

A WAIVER OF LIABILTY must be signed by all participants on the first day prior to riding as all outdoor adventure sports involve inherent risks.

Reservations are as simple as filling out and submitting this online form or mailing/faxing the text version of the form. Upon receipt of the deposit (30%), you will be sent a letter or e-mail confirming your booking. If the date you requested is not available you will be notified immediately and you may either select an alternate date or have your full deposit refunded.

IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL AFTER MAXIMUM 3 DAYS PLEASE PHONE US OR SEND AN EMAIL! Your booking form may not have reached us.

Groups: each group member must complete the above form.

The final payment is due in full prior to departure. Cash, travelers cheques, Visa, MasterCard, International Money Orders and personal cheques are accepted.

Cancellation Policy. 50% of your deposit will be returned if we receive notice of cancellation in writing more than 30 days in advance. With less than 30 days notice the entire deposit will be forfeited. A deposit for a canceled trip may be applied to another booking within 12 months of that originally scheduled.

If you are unable to use this on-line application form, or the text version appended hereto, please contact Moose Mountain Adventures by phone, fax or e-mail and request an application form by mail.

Please read our Joining up Instructions!

Internet Which website?

Magazine Which one?

News article Which paper?

Friend/Word of mouth Name?

Other What source?

After submitting the booking form, you will receive a personal confirmation email within the next 48 hours.