Mystical Charters

Duane & Wendy Herbert

Registration Form

� 4 people: no. of days _______ x $1400.00= _______

� 5 people: no. of days _______ x $1500.00= _______

� 6 people: no. of days _______ x $1600.00= _______

� 7 people: no. of days _______ x $1700.00= _______

� TOTAL ___________

� 7% GST ___________

� Deposit Due $1500.00

� Balance Due on Boarding _______

� Number of Days _______

Date: _______________ to _______________

�Name _____________________________________________

�Address____________________________________________

�City ____________________ Prov. ______________________

�Postal Code ________________ Country _________________

�Phone: ____________________ Fax: ____________________

If you would like you can print out this form and fill it in to mail to us.