Please print and fill out the following form to fax (Fax #: 501-223-5424) or copy and paste to email to us (info@glovers.com.bz):
FOR: GLOVER'S ATOLL' RESORT' ISLAND LODGE DATE OF STAY WITH ALTERNATE DATE IF POSSIBLE: .................................................. CARDHOLDER NAME (print): ........................................................................................... NUMBER: ........................................................................................................................ EXPIRATION DATE: ........................................................................................................ NO. OF PEOPLE IN YOUR PARTY ( ) X CAMPING $118 U.S. DOLLARS EACH= ........................... NO. OF PEOPLE IN YOUR PARTY ( ) X DORM $178 U.S. DOLLARS EACH= .............................. NO. OF PEOPLE IN YOUR PARTY ( ) X THATCH CABIN $238 U.S. DOLLARS EACH= ................ NO. OF PEOPLE IN YOUR PARTY ( ) X THATCH CABIN $298 OVER THE WATER U.S DOLLARS EACH= .............................................................................................................................. SIGNATURE: .......................................................................................... ....................... NAMES OF ALL PEOPLE IN YOUR PARTY AND AGES OF CHILDREN ... ......................................................................................................................................... ......................................................................................................................................
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