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Queen of SXM Reservation Form...***48 hour advance notice****

Personal Information:

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Reservation Information 48 Hours advance notice required

Hotel/Resort/Villa *

Arrival: * +

Departure: * +

Airline: *

Flight Number *

Arrival Time *

You phone is rented with no time on it,if you want us to pre-load the phone with time please enter the dollar amount you would like loaded on the phone. Time is purchasable in $5 increments ($5 USD = 16 minutes to the US or 10 minutes to Canada) *

Delivery Fee: *

Phone w/Delivery $5 (req. CC info)

All rental fees and time are paid for in cash *

Agree to terms

Rental Type *

Cell Phone

SIM Chip W/O Phone

Quantity of Phones/Chips *

Delivery Instructions/Comments:

Instructions/Questions

Credit Card Information (Only Required for Delivery)

Name on Card *

Credit Card Type *

Credit Card Number *

CVV Code * 🛈

Expiration Date (mm/yy) *

Personal Information:

Reservation Information ******48 Hours advance notice required******

Delivery Instructions/Comments:

Credit Card Information (Only Required for Delivery)

Reservation Information 48 Hours advance notice required