Fill out this form and click the "Please Reserve My Room" button at the bottom of the form.
All required fields are indicated by asterisk (**).

Reservation Information 
Last Name(s)
First Name(s)
Email address**
Please Confirm Your Email address**
Street Address
City/Town, State, Zip Code
Day Telephone Number
Evening Telephone Number
Country

Please Choose Room Type Beachfront Room - Queen Beachfront Room - 2 Double Beds Oceanview Room - Queen bed Oceanview Room - 2 double beds Two Bedroom Condominium Studio Condominium Select Room Type

Number of Units Required 1 2 More than 2

All Inclusive Plan European plan Plan

1 2 3 4 5 6 More Number of Adults over 12 years old
1 2 3 4 5 More Number of Children 12 years or under

Arrival Date: mm/dd/yy
Arrival TIME**
Arrival Airline (AA AE DL US etc.) & Flight Number

Departure Date: mm/dd/yy
Departure TIME
Departure Airline (AA AE DL US etc.) & Flight Number

Have you stayed at Bolongo Bay before? If so when was your last visit with us?

* * * Deposit and Payment Information * * *

Credit Card Number - Type Visa MasterCard AMEX
Expiry Date: mm/yy
Name appearing on Credit Card
Billing Address of Credit Card if different from Home Address Above

Charge My Credit Card? I Authorize Bolongo to Charge my Credit Card for required DEPOSIT No, I Do Not Wish To Make this Reservation I wish to pay by check, please email me if available
Mail E-mail Fax Requested Confirmation Method

Any Special Message for us?


Travel Agent Information
Travel Agency Name
Iata Number
Street Address
City/Town, State, Zip Code
Telephone Number
Fax Number
Email address
Agents name

If we cannot accommodate your request, we will notify you via fastest method. Otherwise, your reservation request will be confirmed back via mail or email or fax as you requested showing dollar amount we have charged as deposit.

If you would like more information please call us directly at 1 800-524-4746 or 1 340-775-1800.

Thank You, and see you soon

Katarina Doumeng