RESERVATION FORM

Please print this page and send it to:

P.O. Box 323

Patten, ME 04765

Phone: (207) 528-2320

Reservation Form (Call for Availability 207-528-2320)

Please accept my reservation for the following week:

Month ________________ Day _____ thru _____, 201___

Number of people in your party: Adult(s) _____ Children 6-16 _____

Please select one: Package Plan at Main Resort _____ Cottage Only at Main Resort _____
Outpost Package Plan _____ Outpost Cottage Only _____ Black Bear Hunt _____

This is my first visit to Flint Wilderness Resort: Yes _____ No _____

How did you hear about us? Friend ____ Referral _____ Magazine _____ Outdoor Show _____
Internet _____ Other ______________________________

I am enclosing a deposit of $ _______US Funds (Fishing – $150, Bear Hunt – $500) *per person

(Deposits payable by Personal Check, Bank Check or Credit Card. Personal checks accepted for
reservation only.)

Make reservation checks payable to NORTH COUNTRY LODGE

To make a deposit with a credit card please call 207-528-2320

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City: ___________________________ State _____ Zip __________________________________

Telephone: ____________________________ Cell: ______________________________________

Email Address: ____________________________________________________________________

Signature: _________________________________________________ Date: _________________

DEPOSITS ARE NON-REFUNDABLE

Balance due upon arrival payable by – Cash, Bank Check, Traveler’s Check or Credit Card

Please mail completed reservation form along with your deposit.

Flint Wilderness Resort
PO Box 323
Patten, ME 04765