Regular Masquerader: $135

Front Line: $165+

(All inclusive-lunch & drinks)

Group and Student Rates are Available

Full Name

Street

City

Postal Code

Tel. No.

Alt. No.

Email

Smoky Quartz (Black/White)
Twilight Mystic Topaz (Gold)
Andalusite (Green)
Fancy Amethyst (Purple)
Rainbow Moonstone (Multi Colour)
Mercury Mist (Silver)
The Jewel Box (Yellow)

Costume Type 2 Piece 1 Piece Tankini

Sex Female Male

Bra Size N/A 32B 34B 34C 36B 36C 36D XL

Bikini/Shorts Size Small Medium Large Xtra Large XXL

Waist (inches)

Please submit only one form per person. Someone will contact you with further details, as soon as possible. Minimum non refundable deposit $50.00