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INDIVIDUAL FORM
Type of Room: Single 1 bed
Double 2 beds
Double Family Plan
Triple 2 Double beds
Quadruple_2_double_beds
PASSENGER INFORMATION
PAX NAME(S). names of all persons sharing the room
1. Last Name: First Name: Adult Child:/age:
2. Last Name: First Name: Adult Child:/age:
3. Last Name: First Name: Adult Child:/age:
4. Last Name: First Name: Adult Child:/age:
HOTEL INFORMATION
Hotel Name:
City /State:
Dates: Check In:
Check Out:
AGENCY INFORMATION
Agency name:
Agent name:
Email Agency:
Request Date :
Special Request:




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Tel: 786-207-2733
Fax: 786-207-8217
Toll Free: 1877-396-8057

info@fourwindsusa.com