Secure Reservation Form for Kayaking

RESERVATION FORM FOR KAYAKING

Fields indicated with an asterisk (*) are required to send this form.

To request a kayaking reservation, please fill in the form below

Number of Persons in Party:
Reservation Type:
Reservation Date:
Please add any special notes or requests in the text box below, making special note of request for multiple days:
How many boxed lunches they wish to purchase @ $10 each	Chicken salad roll up; fruit, snacks, chips, drink Tuna salad roll up; Fruit, snacks, chips, drink Ham and cheese roll up; fruit, snacks, chips, drink Peanut butter and jelly sandwich, fruit, snacks, chips, drink Submarine sandwich with fruit, snacks, chips, drink
For Kayak Rentals:	# of single kayaks: # of double (tandem) kayaks:

Guided Trip Requested Half Day Trips:

Personal information collected by this form is not released to anyone.

Names of each Guest*	*
Please list ages of all children who will be kayaking
The exact name of the your company
Address: *	*
City: *	*
State: *	*
Zip: *	*
Country: *	*
Day Phone: *	*
Evening Phone:
Fax:
Email:	*

Deposit

Our Operators are
Standing By

To finalize your request, please fill out the credit card information below. We will acknowledge your reservation request and reply to you with a confirmation number and price when we confirm your reservation. We accept Master Card, Visa, Discover, and Traveler’s Checks and require a 100% deposit. If you have multiple credit cards for your party please have each person fill out their own reservation form.

We will not charge anything on your card until we have confirmed your reservation

Fuel Surcharge Disclaimer: Our fuel surcharge is based on the price of fuel costing $3.90 or less. If the cost of fuel exceeds $3.90 a gallon on the day of your activity, guests will be imposed an additional fuel surcharge at the time of check in.

Full Day fishing charters will be imposed an additional $10 per person for boats taking 6 to 16 passengers.
Half day charters will be imposed an additional $5 per person for boats taking 6 to 16 passengers.
Water taxi guests will be imposed an additional $2.00 per person.
Kayak guided tours utilizing the water taxi will also be imposed the additional fuel surcharge for the water taxi.
No adjustments will be made if the cost of fuel is under $3.90.

Name on Card:
Card Number:
Expiration Date:
3 or 4 digit CVC code:
Comments/Questions:

Cancellation/Refund Policy

• There are no penalties for canceling prior to May 1

• Should you need to cancel after May 1 and or 15 days prior to charter date, there is a 25% cancellation fee and we refund the balance.

• There are no refunds for reservations cancelled within 14 days of reservation date

• If the lesson/rental/guided trip is cancelled due to weather, the guest has the choice of a full refund or raincheck for another day.

• Cancellation requests must be submitted to Miller's Landing in writing - either email or fax. Fax number is 907-224-9197.

• Any and all changes to reservations will require a $15.00 change fee per reservation, as stated in your confirmation.
• There is no prorating or return of any monies for arriving late for your kayak reservations.

I have read the above Cancellation Policy and agree to its terms.
(box must be checked by customer)