Walleye Jack Charter Booking Form Home Up

Complete the form below to book your charter. You will receive an e-mail verifying the availability of your date and the option to make deposit or pay in full with any major credit card or PayPal.  A $100 deposit is required to reserve your date.

(Please inform the Captain by phone or e-mail if any member of your party is under the age of 10 and their approximant weights so we can assure we have the proper safety gear onboard)

(submission of form implies you have read and excepted rules of the boat)

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
E-mail

Choose Charter Type

Perch
Walleye
Combo

Choose Length of Charter

4 hrs.
6 hrs.
8 hrs.

Choose Number of Anglers

1
2
3
4
5
6

Choose Fishing Range:

10 miles
15 miles
20 miles

Enter Charter Date/s:

-- mm/dd/yy    -- mm/dd/yy   

Enter Departure Time:

-- hh:mm am/pm

Author information goes here.
Copyright © 2003 [Walleye Jack Charters]. All rights reserved.
Revised: 04/09/08