Your full name: 
Your email address: (e.g.: [email protected]) 

Address:
City/Town:	State/Prov.: Post./Zip Code:
Country:

Your home phone number (with country, city, area codes): 

Your place of employment: 

Work Phone; 

Best time to reach you AM PM at home at work anytime

When do you plan on visiting the San Juan Islands?
Arrival Date (MM/DD/YY) Departure Date (MM/DD/YY)

How many people will be in your group?
Adults 
Children (12 years of age and younger) 

What is the purpose of your visit to the San Juan Islands?
Pick one Vacation Wedding Family Reunion Honeymoon Get-A-Way Corporate Incentive Gift Retreat Anniversary 

Which Island do you wish to visit?
San Juan (Friday Harbor) Orcas Lopez Shaw
(The above Islands are served by the Washington State Ferry system via Anacortes.)

How do you plan on getting to the San Juan Islands?
Pick one Drive onto the Washington State Ferry from Anacortes Ride my bicycle onto the Washington State Ferry from Anacortes Walk onto the Washington State Ferry from Anacortes Ride the Victoria Clipper from Seattle Ride the shuttle boat from Bellingham By small airplane By boat Some other way, I'll explain in the comment box 

Would you like us to arrange a rental car for you?
No Yes What Size: Select One Compact Mid size Luxury Van 

Your accommodation choices are endless. Which of the following types of accommodations would you like to stay at?
Hotel Bed and Breakfast Inn or Motel Private Vacation Rental Resort

How many beds would you like?What Size? King Queen Double Twin

In some cases, it may be necessary for the establishment to bring in a roll-a-way bed or a futon.
Is this acceptable Yes No

Do you prefer a Shared Bath (this sometimes makes your accommodations a little less expensive) or a Private bath;
Shared Bath Private Bath It doesn't matter

Do you prefer smoking or non smoking accommodations?
Smoking No Smoking Does Not Mater

Please check any of the following activities you like us to arrange for you.
Whale watch tour Kayaking trip Sailing Charter Fishing excursion Victoria day trip Moped rental Bicycle rental Horse back riding SCUBA diving
Other 

If we are planning your Event for you Which of the following would you like us to take care of?
Music Meeting Rooms Reception Area/ Hall Limo Clergy ChapelCatering Flowers Lodging for your guests Transportation for you and your guests.

Do you desire your Event held inside or outside? Select one Outside Inside 

Do you want to be in a private setting or a public setting? Select One Private Public 

Please provide any other ideas or desires that will help us to plan you vacation or event. 

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