Purposal Request Form - First Tracks Lodge

GROUP INFORMATION

* Indicates required fields

Organization Name:

*Group Name:

*Type of Group:

If Other:

Contact Information:

*Contact Name:

*E-mail:

Mailing Address:

City:

*State/Province:

Country:

Zip/Postal:

How shall we contact you?

Phone
Fax
E-mail

*Telephone:

(include area code)

Fax:

*Group Arrival -> Departure Dates
(mm/dd/yyyy)

Arrival	Departure

Alternative Arrival -> Departure Dates
(mm/dd/yyyy)

Arrival	Departure

Attendance:

*Total Attendees:

Kids -> under 12 yrs
in your total attendance count (if any)

Seniors -> 65+ yrs
in your total attendance count (if any)

Is your group a Youth Group?

Yes
No

Timeframe:

When do you plan to make your decision?

(mm/dd/yyyy)

LODGING REQUIREMENTS

Accommodation Occupancy needed:

Single

Double

Quad

How will your accommodation be paid?

single source
individuals to pay own

TRAVEL REQUIREMENTS

Air transportation:
(Note: minimum booking of
10 seats on same flight)

Yes
No

Ground transportation:

Yes
No

ADDITIONAL NEEDS

Meeting/function space:
(If so please provide specifics)

Activities interested in:

ATV and Snowmobile Tours
Golf
Zip Tracking
Candian Outback Adventures
Other:

Are you also considering other destinations?

Yes
No

Additional comments or requirements:
(If so please provide specifics)