Chinook Cove Lodge

Seaplane Booking Request and Travel Information

Please fill out this form and either click the "Submit" button to send it directly to our office or print and mail to the address below.  Many Thanks!

Requested Trip Date:

Number in Party:

  
Name:     (As listed on Passport)
Address:
City: State/Province

Zip/Postal Code:

Phone:

E-Mail: 
Date Of Birth:

Passport Number

Passport Expiration Date: (MMDDYYYY)

Weight:

Citizenship:

  

Your Group Information:

 

 

 

 Full Name        DOB      Weight      Passport #      Expires 

PLEASE NOTE:  Submitting this form only PROVIDES

information Required for International Travel by Kenmore Air Harbor and by Canadian and US Customs.  This information does not remain on the Chinook Cove Lodge website.

Mailing Address:

Chinook Cove Lodge, USA,  Inc.

1320 Rogers Ct.

Sutherlin, Oregon, 97479


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