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Wild West Group Tours and Vacation and Expedition PackagesContact Us - Information Request


Please fill out this no-obligation form to request information on availability, rates, or to ask any questions about our expeditions.

Name:
Business Name:
Address:
City:
State: (If not U.S., please enter N/A)
Country:
Postal Code:
Daytime Telephone:
Evening Telephone:
E-mail address:

Number of adults in
your group?

Number of children (ages 5-12)
in your group?

I am interesting in receiving more detailed information and/or would like to book reservations on the following vacation package(s):
2009 Up Close and Personal 5 day, 4 night package:

Monday, June 9 - Friday, June 12, 2009
Monday, June 22 - Friday, June 26, 2009
Monday, July 6 - Friday, July 10, 2009

Monday, July 20 - Friday, July 24, 2009


I am interested in a customized group tour. Please e-mail me with more information.


I would like to make reservations on the trip as indicated above.

Please check method of payment:

Please e-mail me an invoice so I can pay by personal check.
Please e-mail me a PayPal invoice so I can use my credit card to make a payment through PayPal.

You can pay either with a check/money order or with PayPal. We use PayPal to receive funds electronically in place of receiving a check. Thanks! If you have any questions or need further information, give us a call at (605) 996-1120 or e-mail mkuchera@santel.net.



Comments:
(Please give
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information you
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Mike Kuchera's Wild West Expeditions
Phone: (605) 996-1120
Fax: (605) 996-1232
E-mail: mkuchera@wwexpeditions.com
Mail: P.O. Box 10, Mitchell, South Dakota 57301-0010 U.S.A.