FREE FISHING TRIP

Email Address *

Salutationselect below一Mr.Mrs.Ms.MissDr.

First Name *

Last Name *

Suite/Apartment Number

Street Address *

City *

State *- select below -- US States -AlabamaAlaskaArizonaArkalansasCaliformiaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorigaHawaiIdahollinoisIndianalowaKansasKentuckyMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
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Evening Phone

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1. * How many Canadian fishing trips have you taken in your lifetime?
: selec below一01.34-67.910- 1516- 2020+
In the past 12 months how many Canadian fishing
trips have you taken?
selec below一0123456+
I've never been on a Canadian fishing trip. (Skip ahead to question 12.)
2. What year was your first Canadian fishing trip?

3. During your last Canadian fishing trip, did you stay at a:
select belowLodgeOutpost
4. During your last Canadian fishing trip, did you Fly-in,
or drive to a Lodge/Outpost?
selecl Delow一Drive inFly in
5. Average nightly rate during my last Canadian fishing trip was?
- select below -Under $50$51 - S100$101 - $150$151 - S200$201 - $250$251+
6. The total number of nights of my last Canadian fishing trip was?

7. Which month of the fishing season do you usually fish in Canada?
monthMayJuneJulyAugustSeptember
8. What is the number of adults in your fishing group?

9. What is the number of children in your fishing group (12 & under)?

10. List the Canadian fishing camps you have visited in the past five years.

11. Do you use a Travel Agent to book your Canadian fishing trips?
YESNO
12. * On a scale of 1 to 10 (10 being the highest), rate your interest in
fishing Cobham River Lodge & Outposts?
10987654351
* Are you likely to fish in Canada during the next two years?
- serec DeoW-AbsolutelyProbablyNot SureProbably notDefinitely not
14. * What year we're you born?

* Do you go to your local outdoor show when it comes to town?
- select below一AbsolutelyProbablyNot SureProbablynotDefinitely not
16. * On a scale of 1 to 10 (10 being the highest), how do you rate
Cobham River Lodge & Outposts web site?
- select below一10987654321
17. * How did you get to our website?
- select Delow -Newspaper AdSports ShowOur BrochureBanner Ad at a Search EngineLink from a Search EngineLink from another websiteI have been to this website beforePrevious GuestReferred by a FriendOther