ASSATEAGUE EXPLORER

RESERVATION FORM

NAME: (First)____________________ (Last)_________________________

ADDRESS: ________________________________________________________________________

EMAIL ADDRESS: ________________________________

HOME PHONE: ______________________ BEST TIME TO CALL: ______________

MOBILE PHONE: ______________________

HOTEL or PLACE WHERE YOU WILL BE STAYING: ___________________________

RESERVE the following (Indicate which tours for each day) :

DATE ____________

THE NUMBER OF PEOPLE IN YOUR PARTY _____adult(s)_____child/children

(Circle one of the followings) PONY EXPRESS TOUR - 8:30am • 10:30am • 12:30pm • 2:30pm • 4:30pm • 7:00 pm ; SUNSET/LIGHTHOUSE CRUISE - 7:00pm ; BIRD WATCHING TOUR - 8:30am • 10:30am • 12:30pm • 2:30pm • 4:30pm • 7:00 pm

DATE ____________

THE NUMBER OF PEOPLE IN YOUR PARTY _____adult(s)_____child/children

(Circle one of the followings) PONY EXPRESS TOUR - 8:30am • 10:30am • 12:30pm • 2:30pm • 4:30pm • 7:00 pm ; SUNSET/LIGHTHOUSE CRUISE - 7:00pm ; BIRD WATCHING TOUR - 8:30am • 10:30am • 12:30pm • 2:30pm • 4:30pm • 7:00 pm

I am sending the full payment (add 5% tax to your total) of $_______________ by check or money order (Make it payable to Assateague Explorer ) to reserve the above tour(s).

COMMENTS:

Please mail this form with the payment to: Assateague Explorer 6370 Burton Avenue, Chincoteague, VA 23336