RESERVATION FORM

First Name
Last Name
Number of adults
Number of children         Age of children:  
Email Address
Repeat Email Address
Home Address
City
State
Zip
Home Phone
Work Phone
Fax

ACCOMMODATION CHOICE

COMFORT SUITES   
TURTLE COVE INN
COMFORT SUITES   
THE PALMS   
ISLAND CLUB
   
POINT GRACE   
SIBONNE   
GRACE BAY CLUB

OCEAN CLUB WEST   
OCEAN CLUB RESORT   
ROYAL WEST INDIES
THE SANDS    
BEACHES RESORT & SPA
CARIBBEAN PARADISE INN

VILLA RENTAL

please specify the property

DEVIATION

Arrival  Date / Airline / Time
Departure  Date / Airline / Time

ACTIVITIES

Bicycling
Car Rental
Catamaran Sailing Cruise 
Diving
Helmet Diving
Fishing
Middle Caicos Excursion
Golfing
Horse Back Riding
Kayaking
Motor Boat Excursions
Parasailing
Private Charter
Sightseeing Tours
Snorkeling 
Sailing
Spa

FORM OF PAYMENT

For security reasons you might prefer to submit the credit card information by phone,
we are happy to call you.

PLEASE CALL ME
Credit Card  
CREDIT CARD NUMBER
Expiration Date   month year
Security Code
(VISA and MasterCard only)
  the security code are the last 3 numbers on the back of your card

COMMENTS

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P.O. Box 721 Providenciales
Turks and Caicos Islands B.W.I
Phone / Fax 649 941 4375
Mobile 649 231 3986

NILA@niladestinations.com
  copyright © NILA Destinations Ltd.