Club Motoneige de la Jacques-Cartier Inc. 4360 Rte Fossembault, Ste-Catherine de la Jacques-Cartier,
(Québec) G3N 2V2 Phone.: (418) 875-2650 Fax.: (418) 875-0999

*Public Liability insurance included in your permit trail.
If you already have an insurance you have to claim for the reimboursment with Max-Neige(10 days delay).

ATTENTION: you have to fill all the space.


Please complete all spaces:

For rental permit write company name
Gender
Last Name
First Name
Address(1)
Address(2)
City
Province/State
Postal code
Phone
E-mail
Permit trail *
Mark
Model
Year
Serial #
Licence plate #
Payment mode
Canadian citizenship Yes No

Any Commentaries here :

Please call me as soon as possible for my annual Trail permit


 



Copyright © 2005-2010 [Club Motoneige de la Jacques-Cartier]. all rights reserved.
Revision : august 29 2010.