EmailMe Form - Groupon Helicopter Flight with Glacier Landing

EmailMeForm

Tell us about yourself
Passenger 1 - Name *
First Last
The name of the primary person making this reservation
Passenger 1 - Gender *
Passenger 1 - Weight *
Weights in pounds please : 1 kg = 2.2 pounds.
Passenger 1 - Date of Birth *
MM / DD / YYYY
Email *
This is where we'll send your confirmation
Phone *
A mobile phone where we can reach you when you are traveling
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Groupon Voucher # *
The number just below the bar code your Groupon. It should look something like this: 1234-5678
I am staying at Knik River Lodge and already made reservations. *
Yes
No, but interested. Contact me please
No, we just want to book this helicopter tour
Select your tour, departure date and time
Preferred departure date *
MM / DD / YYYY
Preferred departure time *
Morning
Afternoon
Comments / special requests , etc.
Details additional passengers
How many passenger total on this reservation? *
Total number of passengers, including yourself.
Details Passenger 2
Passenger 2 - Name
First Last
Passenger 2 - Gender
Passenger 2 - Weight
Passenger 2 - Date of Birth
MM / DD / YYYY
Almost there !
The Small Print...
Groupon vouchers are valid for use between May 10, 2015 and September 10, 2015. Merchant's standard cancellation policy applies (any fees not to exceed Groupon price). Limit 2 per person. Must sign waiver. Weight limit 300lbs per seat. Reservations must be made online at least 14 days prior to requested departure date. Exact departure time will be confirmed at least 72 hours prior to the tour via email.
I have read, understand and agree with the small print *
Yes, I understand and agree.

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Tell us about yourself

Select your tour, departure date and time

Details additional passengers

Almost there !