Blaeberry Mountain Lodge and Adventure Tours, Golden, British Columbia, Canada. Your hosts take pride in offering accommodation in their lodge and cabins for visitors from all over the world.

ON-LINE RESERVATION FORM

Please provide the following information:

Full Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Telephone (include area code)

FAX (include area code)

Email (please double check it!)

Payment Method: (We will take your Credit Card number over the phone when we confirm your reservation)

Which type of accommodations would you like? (if available)

# of Adults:               # of Children:

If children, please indicate their age(s):

Meals Included? Yes No

Dates Requested — Arrive:   Day   Year

— Depart:   Day   Year

Have you visited with us before? Yes No

How did you find us?

Adventure Itinerary List — We can prepare adventure packages for you... Choose which activities you'd like us to arrange for you:

Air Tours

Cross Country Skiing

Mountain Biking

Heli-Skiing

Bird Watching

Hiking

Whitewater Rafting

Horseback Riding

Biking Tours

Downhill Skiing/Boarding

Other

Additional Comments or Requests:

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