VACATION REQUEST  

  Select what you would like to include in your package:

 Hotel      +      Tours   +     Car      +     Flight     +     Travel insurance

 Departure Date mm/dd/yy         Return Date mm/dd/yy

 Departure Airport  

 HOTEL PREFERENCES

 What kind of hotel are you looking for?

Ecolodge      Inn       Beach Hotel       Dive Lodge     

Hotel       Cottage & Apartment rental      Camping

 Preferred Hotels/Comments

 Number of rooms    

 Room Type Standard Superior

 Price range per night/room:   Less than $50 $50 - $100 Over $100

 Preferred area  

 (for multiple selection, hold the control key)

  Anywhere Roseau Roseau Valley South West West Coast Portsmouth Area North East Interior Carib Territoy West/South west coast

ACTIVITIES

Check as many activities as you would like to do during your stay:

 Guided Island Tours    Hiking     Bird Watching     

Diving     Snorkeling     Whale Watching     Kayaking     

Wellness     Yoga     Horse Riding     River Tubing     

ATV    

 CAR RENTAL

 Vehicle Type   NoCar Economy Standard Superior Minibus

 Include Insurance  Yes     No

  Age of  Driver  

   Would you like us to design a "Self Drive"  itinerary for you?  

 (includes detailed directions, lunch stops, activities)

  Special Requests

 TRAVELER INFORMATION

 First Name

 Last Name

 Telephone 

 Email         

 Number of Adults   1 2 3 4 5 6 7 8 9 10 11 12      Number of  Children 0 1 2 3 4 5 6 7 8 9 10 11 12

 Street Address  

 City          

 State                  Zip Code    

 Country