_______________________________________________________________________

Bahamas Booze Cruise Booking Form.

Seats are charged at :

$60.00 US per person or US$40.00 for children aged 5 - 10

This cost includes Tropical Drinks, Combo Lunch and snorkelling equipment.

Print out this form from your browser. Please complete all fields on this form and fax to us at 1 242-394 4235. Please use name and address of Credit Card Holder.

**To ensure we can provide all the details for your trip, please phone us with your hotel details on arrival in the Bahamas
_______________________________________________________________________

PERSONAL DETAILS
Name (As appears on Credit Card):

Address:

City:

State:

ZIP Code:

Contact Phone Number:

E-Mail Address:
____________

HOLIDAY DETAILS
Date of Arrival in Bahamas (DD/MM/YY):

Preferred Date of Cruise (DD/MM/YY):

No of Seats: (    ) 

Hotel Name:

Name room is registered in:

Hotel phone number: 
____________

CREDIT CARD DETAILS
Credit Card Type: Visa (  )    Mastercard (  )    

Credit Card Number:

Expiry Date:

Signature of Card Holder:



____________

After we receive your request we will contact you via email to confirm your order.

Thank you and enjoy your stay in the Bahamas.

Pricing Subject to change. Please check http://www.boozecruisebahamas.com/terms.html for current pricing.