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GENERAL INFORMATION  
Title:
Name:
Last Name:
Address:
City, State, Zip:
Country:
Telephone:
Fax Number:
Email Address:
Your Arrival Date: Flight No. Time
Coming From:
Your Departure Date: Flight No. Time
Leaving for:
Approx. number of days of your itinerary to be arranged:
Approx. budget per pax: (in US$ per adult)
Persons travelling: Adult  Children    Total 
PERSONAL PREFERENCES  
Hotel Category: Deluxe  Superior  Standard Budget
Room Type: Suites  Deluxe     Superior  Standard
Room Configuration: Single    Double Twin Triple Baby Cot
   
Meal Plan Breakfast only  Halfboard/lunch 
  Halfboard/dinner  Fullboard
   
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