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RESERVATION FORM
"THE ULTIMATE DIVA WEEKEND GETAWAY" JANUARY 17-20, 2008 NAME(S): (AS IT APPEARS ON PASSPORT) NAME _________________________________________DOB____________________________ NAME _________________________________________DOB____________________________ ADDRESS __________________________________________________________________________ CITY, STATE, ZIP _____________________________________________________________________ PHONE ______________________________ E-MAIL ADDRESS _____________________________________ TYPE OF STATEROOM:
INSURANCE: $99.00 PER PERSON TOTAL AMOUNT _________________________________________________ DEPOSITS: $250 PER PERSON DUE ON BOOKING FINAL PAYMENT: NOVEMBER 12, 2007 PAYMENT: CREDIT CARD: CARD #: ______________________________________ EXP. _______________________________ SIGNATURE: __________________________________________________________ PASSPORT# __________________________________________________________________________ PASSPORT# ____________________________________________________________________________ Email to kathyt@mtstravel.com Mail To: MTS Travel, Attn: Kathy Tretter, 124 East Main St, 4th flr, Ephrata, Pa. 17522
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