Instructions

Please fill out the form below, and click the SUBMIT button at the bottom of the screen to send Island Girl your request. Please note this business is separate from Extreme Polynesian Beach House and is offered on this web site as a courtesy to guests.



Your Name: *
Email Address: *
Type of adventure you are seeking.:*
Number of persons/ages if applicable to activity:*
Day/Month you plan to vacation here: *
Phone:
Fax:





Choose Amenities You Like

Limousine Super Bowl- round trip
Airport Limousine -round trip
Bartender for Pre-Super Bowl Pary
In House Chef for 1 night for 3 Course Gourmet Meal
In house Massage Therapist
Grocery Provisioning prior to arrival
Daily night turn down service
Deep Sea Fishing- 6 hour trip
Kayak Tour guide
Jet Ski Rentals
Dinner Cruise Boat
Boat Captain for night time navigation
Pre- Bowl Party for $495.00 each
Club 009 Party:
Comments:







This form does not confirm a reservation. To make a reservation go to " Book Reservation Page" then make a deposit. The Terms of the Super Bowl Deposit is 50% and it is a non-refundable deposit. Should you cancel, you will not be refunded your deposit. Please check that you understand accept these terms.*
Please add any special services you desire.:*



(Fields marked with * are required)




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