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FOR INTERNAL USE ONLY

 

Enter information as per the prospective client as received from initial source

 

QUOTE FROM PANAMA SPORT FISHING CHARTERS

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TO BE FILLED OUT BY PSFC

Name as it Appears on Passport *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Phone *

Email *

ADVENTURERS

Number of Anglers *--- Select Choice ---1 Angler2 Anglers3 Anglers4 Anglers

Notes on Anglers

Length of Adventure *--- Select Choice ---2 Days / 3 Nights3 Days / 4 Nights4 Days / 5 Nights5 Days / 6 Nights

Type of Accommodation *--- Select Choice ---Resort HotelBoutique Hotel

Date / Time Arrival in Panama

Date

Time

This is when we will be picking you up from the airport according to your requested length of stay.

Date / Time Departure from Panama

Date

Time

This is when we will be dropping you off at the airport according to your requested length of stay.

Cost Notes Notes

Notes on Length of Stay and Accommodations

Total Estimated Cost Per Angler *

Total Deposit Needed *

This is the amount you will need to send to secure your trip. If you approve this quote, email is with the quote number and we will send you a link where to pay the deposit amount.

Extra Notes

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