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Have you been referred by a Travel Agent to our Site?
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TRAVEL AGENCY
(Optional, we can refer one) |
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TRAVEL AGENT NAME
(Optional) |
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City/Location of Travel Agent
(If not completed we'll use your zip code for referral) |
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| Fax (At least one fax per record Required for Credit Card transactions) |
Fax my Travel Agent, I'll go there to sign the form |
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Describe your party and give us exact names.
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Total in Your Party?
Double is 2 to a room,
Triple is 3 to a room,
Quad is 4 to a room
More than 4 people?
Book them by the room on a separate form.
Only a few hotels hold Quint (5) and
only if they are listed as such in the price sheet
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Lead Passenger Last Name (AS ON PASSPORT)
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Note: Record will be filed under this name until a confirmation number is issued (ex. "Jones Record")
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Lead Passenger First Name (AS ON PASSPORT)
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(Double) Last Name, First Name (AS ON PASSPORT)
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| (Triple) Last Name, First Name (AS ON PASSPORT) |
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| (Quad) Last Name, First Name (AS ON PASSPORT) |
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| (Quint) Last Name, First Name (AS ON PASSPORT) |
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NOTE: WE NEED LEGAL NAMES FROM CERTIFIED BIRTH CERTIFICATE
OR PASSPORT (note either one or the other is REQUIRED)!
Along with a State issued picture ID if using a Birth Certificate.
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Hotel Request and Additional Info to close the record
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Hotel Requested
(note: Hotels can be confirmed
only with $150 Deposit per person.
This form is a "request" form only)
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2ndary Hotel Requested
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Meal Plan Requested
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| City Requested |
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Cellular Daytime Nighttime
Phone Number (Important for last minute info) |
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Phone Number above is for...(First Name)
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Cellular Daytime Nighttime
Phone Number (Important for last minute info) |
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Phone Number above is for...(First Name)
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| Fedex (daytime) Address |
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| City, State, Zip |
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Additional Optional Information and duplicate submission buttons below
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