Moose Hunter Information Form

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

Our preferred method of contact

(###)

###

####

Emergency Contact Information

Group Number

Date of Arrival

MM

DD

YYYY

Package Preference

All Inclusive

Housekeeping

Comments

Let us know any further information

Forms are to be filled and submitted with the deposit.

A form is required for each adult guest visiting Horwood Lake Lodge.

Please make checks payable to:

Horwood Lake Lodge P.O. Box 694, Timmins, Ontario, Canada, P4N 7G2

Please contact us if you have any questions.

1-866-242-9992

horwoodlakelodge@gmail.com