Make check payable to: New England Bob's

Mail to:

New England Bob's Quebec Adventures

71 Pleasant Street

Plainfield, MA  01070



TRIP REGISTRATION FORM



Name: ____________________________________________________________________________


Address:  ________________________________________________________________________


Telephone:  ______________________________         Fax:  _________________________


Work Phone: _____________________________           EMAIL:  ______________________


Sled Information: 

Year: ______________     Make:  __________________     Model:  ___________________


Odometer: _________________      VIN# _________________________      CC __________


Current registration:  # _________________  State __________  Exp. Date: _________


(Please include a copy of Registration for issue of Trail Permit for Québec Trails.

Trail pass purchase price subject to current exchange rate.

(Trail pass includes $500,000 accident liability insurance)


Room Partner Request:  ___________________________________________________________


Trip Name: _______________________________________________________________________


Trip Dates _______________________________________________________________________


List Medical or Other Considerations: ____________________________________________


Single occupancy add $35 per night:   Number of nights ______    Amount:  ________


$160 US per day sled rentals no discounts

___ (Check) if you need rental sled.

(includes insurance and clothing, oil, unlimited miles, facemask,

helmet, registration) Deposit required.



PAYMENT METHOD

_____ Check enclosed amount $ _______________


_____ VISA       _____ American Express       _____ MasterCard        _____ Other


_____ Card Number:________________________________         Exp. Date:  __________





Dealer stamp     -      Travel agency stamp