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Reservation Request & Payment/Maine Cruising Guide Order Form
Fields marked with an asterick ( * ) must be completed.

Name: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip Code: *
Country:
Telephone: *
Email Address: *
Notes/Instructions: Please indicate in the Notes/Instructions line above if you are ordering a Hardbound ($56.95 +t/s/h) or Soft Cover ($44.95 +t/ s/h). All orders will be sent US Postal Service unless otherwise arranged. Delivery available starting in April 2008.

 Completing billing information if different from above
Billing Name:
Billing Address Line 1:
Billing Address Line 2:
Billing City:
Billing State:
Billing Zip Code:
Billing Country:
Billing Telephone:
  
Select Credit Card: *
Credit Card Number: *
Expiration Date: *
CVV Number: * 3-digit number on back of most cards;
4 digits of front of AMEX
Cardholder Name: *
Billing Zipcode: *
Email Address: *
(Enter again for confirmation)


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NorthPoint Yacht Charters
P.O. Box 934 Rockport, Maine 04856
Tel/Fax: 207-557-1872