CONTACT INFORMATION

First Name :

Last Name :

Postal Address :

City :

State /Prov. :

Zip Code :

Day Phone :

Day Fax :

Cellular Phone :

E-mail :

YOUR TRIP PARTICULARS


Number In Your Party :


Cabo Arrival Date :


Cabo Departure Date :


Do You Require Transportation To And From The Airport ? :

Yes

No


Do You Require Lodging In Los Cabos ? :

Yes

No


If Not, Where Will You Be Staying ? :


Fishing Trip Date (s) ? :


Which Fishing Package Do You Want ? :

EXTRAS (NOT INCLUDED!)


Will You Need Specific Bait Or Tackle ? :

Yes

No


Will You Need Specific Food Or Refreshments ? :

Yes

No


Will You Need Snorkeling Gear ? :

Yes

No


Anything Else Important We Should Know ? :

CREDIT CARD INFO.

Payment Options :


Credit Card Number :


Expiration Date :


Full Name As It Appears On The Credit Card :


Do You Authorize Bad Medicine Sport Fishing To Charge Your Credit Card For Your Fishing Trip Reservation ? :

Yes

No

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