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*Departure Date

        

* Number of Guests

Helicopter 1

Helicopter 2

 

Weight(lbs)

Name

 

Weight(lbs)

Name

Guest 1:

Guest 1:

Guest 2:

Guest 2:

Guest 3:

Guest 3:

Guest 4:

Guest 4:

Guest 5:

Guest 5:

Guest 6:

Guest 6:

 

Contact Info

*First Name:

*Last Name:

*Email:

*Phone:

Address:

City/Town:

State/Provence:

Country:

Zip/Postal Code:

Does anyone in your party require special assisstance?    yes     no

Additional Comments:

* I have read and agreed to the Cancellation Policy

Billing Information

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Ph. 1.345.943.HELI(4354)  Cell. 1.345.926.6967  Fax. 1.345.946.0468  Email. cihelicopters@yahoo.com