les envolees blanches

Please contact Alain Laplante by phone at (613) 296-8256, by e-mail at AlainLaplante1@videotron.ca or by regular mail at 251 du Dome Gatineau (Quebec) J8Z 3G7 before you fill in the form in order to make sure we are available on the date you want.

Choose one of our services:

Personal information:

Name:			Surname:
Address
	`(Number)`	`(City)`	`(Postal Code )`

Phone numbers:		Home:
Phone numbers:		Office:

E-mail address

You must send $50 with this booking form.

Where will the flight take place:

Location:
Adress:

Date:	year/month/day
Exact time of the ceremony :

Number of birds requested :

Additional information