Inquiry Form

First Name *

Last Name *

Email Address *

Telephone Number

State

When would you like to travel?

Are dates flexible?

Yes
No

Maximum number of nights you can spend:

Number of adults:

Number of children:

Specify ages of the children:

What level of accommodation do you prefer?

How many rooms will you require?

Which of the following areas do you want to visit?

Ambergris Caye
Private Island
Cayo (San Ignacio)
Placencia
Hopkins

What activities would you like to include on your trip?

Scuba Diving	Mayan Ruins
Snorkeling	Birding
Sailing	Cave/River Tubing
Fly Fishing	Belize Zoo
Deep Sea Fishing	Horseback Riding
Reef Fishing	Hiking/Nature Trails/Waterfalls
Kayaking	Caving
Canoeing