Houston Hikes Dominica
Please complete this form if you are interested in starting the process to secure a space at the Houston Hikes Dominica Retreat on November 13-20, 2022. We will reach out to get your credit card deposit after this.

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Email *
First and Last Name *
Phone number *
Package Preference (click all that apply) *
Required
Discount code if applicable
Name of roommate if known / if applicable
Complete billing address *
Passport number *
Passport expiration date *
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YYYY
Birthdate *
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DD
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YYYY
Food sensitivities or any other requests (if applicable)
We will be in touch to send a secure credit card deposit form and information about the optional payment plan.  If you want to reach us do not hesitate to email: info@JungleBayDominica.com or call via WhatsApp: +1-767-235-0025
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