Please provide your contact information:

     Name:  


    Email:  


  Address:  


     City:  ,       State:  


  Country:  , Postal Code:  


    Phone:  ,  Fax Number:  

Please indicate how you wish to pay for your deposit:

           Check:  


     Money Order:  


Traveler's Check:  


     Credit Card:  


    Type of Card:  


No CardMastercard/Visa  
Discover CardAmerican Express




     Card Number:  


       Exp. Date:  

Please check which applies to your trip:

      Fly/Drive with No Accommodations


      Land Only (Accommodations)


      Complete Air-Car-Accommodations Package

Number of people in your party. Please list names:

     Person:     Name:                  Age (If minors):


     Person #1:    


     Person #2:    


     Person #3:    


     Person #4:    


     Person #5:    


     Person #6:    

Please indicate your preferred air carrier:

Do you belong to a frequent flyer program? Yes No

Your trip will originate from:

City:  , State:  , Country:  

Maine (fly-in) destination:

     


     Augusta:   


      Bangor:   


    Portland:   


  Bar Harbor:   


    Rockland:   


Presque Isle:   

Do you want to split-cities?
(Example: You fly into Portland, Out of Bar Harbor): Yes No

If yes, which cities: (In) / (Out)

Number of nights (minimum of 3):

Select the dates you will be visiting Maine: If traveling during the summer, please provide 3 choices (Example 06/06/96 and 06/13/96).

                  Arrival                 Departure


     1st Choice:   / 


     2nd Choice:   / 


     3rd Choice:   / 

Rental Car Information:

      Economy


      Intermediate


      Full Size


      Luxury


      Mini-Van

Accommodations:

      Budget


      Medium


      Deluxe




         Smoking  Yes   No

Select your preferred accommodation type:

      Hotels   B&B's     Inns


      Camps    Motels    RV Campers

Type of room:

      Single    Double    Triple   Quad


      1-Bed     2-Bed     Cot      Crib

Please indicate your interest in optional tours (in season): Check as many as you like.

 Whale Watching    Ferries        Rail Spurs         Dinner


 Snowmobiling      Sailing        Bird Watching      Golf


 Bus Excursions    Festivals      Real Estate        Lobster Feeds


 Historical Sites  Canoeing       Kayaking           Shopping


 Nature Excursion  Sea Fishing    Antiques           Hiking


Other:  

Please use the following space to let us know about any specifics we may not have asked about. Please include any special requests or requirements. (Example: "I would like to spend 2 days in Portland, a day in Freeport and 2 days in Bar Harbor". )

Are you interested in trip insurance? Yes No

Are you interested in having us plan a:

     Group Visit    Yes   No  


     Small Meeting  Yes   No  


     Convention     Yes   No  

Thank you very much for using our online order form. Please check one last time to be sure all the information you have entered is correct. Your request will be processed in the order it was received. You will receive a confirmaiton message within 48 hours to acknowledge the receipt of this booking application.

Again, Thank You for using "YOUR MAINE TOUR"!