Captain Kevin Backus Phone/ Fax (586) 771-8817 Cell (586) 206-4172 captkevin@mrmuskiecharters.com www.mrmuskiecharters.com Name: Lesley Groff PF $100.00 deposit required to hold the date Address: Send deposit to: 23323 Liberty Street fF St. Clair Shores, Ml 48080 Price: $ 800.00 Phone Number: Discounts: Cell Number: PF Licenses: as $ 800.00 Emall: eee Subtotal: Date(s) Requested: August 6th $ 100.00 Pdcc Deposit: Type of Trip: Small Mouth Bass Balance: $ 700.00 am[_] pm[v] - See website for meeting locations & directions. sla] sL_] lv] 7] 8 CJ Hour Trip - Fuel surcharge may apply. > 15%-20% gratuity is customary for first mate. - *Canadian fishing licenses are required and they must be printed out and brought to the charter. Mr. Muskie Charters will happily purchase licenses for Departure Time: °°00P™ a fee of $35 per license. All license information -ereoo must be submitted and prepaid (minimum 14 days) Phone/internet prior to your charter date. Licenses can be obtained Booked At: at www.mrmuskiecharters.com. Final balance is TT due the day of your charter. Charters that don't show up will be billed the full balance. Rates are Meeting Location: Jefferson Beach Marina *License Yes/No #: No/will have based on 5 people or less. CREDIT CARD # CARD TYPE: NAME: EXP. DATE CCV: EFTA00308383