Travel Agency?   If 'Yes', Travel Agency Name:
  Name of Travel Agent:
Group/Tour Name:
Group/Tour Number: (if applicable)
Surname * :
Given Name * :
Phone Number including Area Code * :
Fax Number including Area Code:
Mailing Address * :
City * :
Province/State * :
Country * :
Postal/Zip Code * :
E-mail Address * :
If you do not have a permanent e-mail address, please enter "none" in this field.
BC Ferry Confirmation #: (if established)

 

Sailing #1   Sailing #2
Port of Departure:   Port of Departure:
Port of Arrival:   Port of Arrival:
Departure Date:   Departure Date:
(eg: July 6, 2002)     (eg: July 6, 2002)  
Departure Time:   Departure Time:
Alternate Dates and Times:
Departure Date:   Departure Date:
(eg: July 6, 2002)     (eg: July 6, 2002)  
Departure Time:   Departure Time:
Please use the Comments section to request additional sailings.
Reserve Bus:   If 'Yes', Length:
Number of Passengers including Bus Driver and Escort
Adults over 11 years and under 65 years:   Children, 5-11 years:
Children under 5 years:   BC Resident Seniors :
BC Students, 12-18 years:   Non-Resident Seniors:
BC Students, 5-11 years:    
* Please present your Gold CareCard when you arrive at the terminal
Comments