Level of interest in a trip such as this: Very interested Somewhat interested Not interested Number of companions you might anticipate traveling with you. 1 2 3 4 5 6 Age range of you or your group (select all that apply): 14-19 20-30 30-40 40-50 50-60 60-70 70+ Number of days you would want to spend on-island? 5 days 7 days 10 days 14 days Best Month(s) of the year for you to travel. My Interests are (select all the apply) - Fishing and experiencing the sea such as local fishermen do. - Hiking and spending time in the rain forest. - Scuba diving and snorkeling. - Primitive Camping in the rain forest. - Relaxing on the beach or hanging out along a rain forest stream. - Mingling locally and experiencing the culture. - Touring the island and visiting local points of interest. - Taking an abundance of photos, a photo safari. Of the above list, what one or two things interest you the most? Or, if something else, explain. A good trip for me is best described as Slow and Easy, taking things in at a comfortable pace. Aggressive - doing as much I can during the time that I have. Something in-between. I Would Like Additional Information Yes No Your other specific questions? Contact Name City State Please provide either or both your e-mail address or phone #. We will be in contact with you soon. (Please know that your contact information will be kept confidential and will never be provided to another party.) E-mail Address Phone # (optional) Please included area code. Security Code * You can use either or upper or lower case letters when providing the security code.