Charter Reservation Form 

To better serve you, PLEASE fill in all information!

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the following additional specific information:

	Charter Preference
Charter Type	SELECT ONE Half-Day Bone Fishing - $500.00 Full-Day Bone Fishing - $800.00 Half-Day Mixed Fishing - $500.00 Full-Day Mixed Fishing - $800.00 Half-Day Stingray City Sandbar - $ 38.00 Per Person Full-Day Stingray City Sandbar - $72.00 Per Person Half-Day Snorkelling Private Charter - $500.00 Full_Day Snorkelling Private Charter - $900.00 Half-Day Deep Sea Fishing - $600.00 Full-Day Deep Sea Fishing - $900.00 Half-Day Reef Fishing - $500.00 Full-Day Reef Fishing - $800.00 Custom Charter - Please Contact Me
Charter Date	(Enter as MM/DD/YYYY)
#  in Party
# of Children under 12
Arrival Date	(Enter as MM/DD/YYYY)
Arriving By	Check One Air  Ship  Local Resident
Airline/Ship Name
Departing Date	(Enter as MM/DD/YYYY)