Phone: 1-800-223-6508
Fax: 1-888-359-2438
Customized Group Request Form
Agent Information
Agent or Contact Name
Agency Name
Address
City
State
Zip
Phone
Fax
Email
IATA/CLIA #
Group Information
Group Name
Destination
Arrival Date
January
February
March
April
May
June
July
August
September
October
November
December
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2008
2009
Departure Date
January
February
March
April
May
June
July
August
September
October
November
December
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2
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31
2008
2009
Budget ($USD)
Group Profile
Number of Rooms
Total Number of Nights
Air Arrangements
Air Arrangements Requested?
Yes
No
Preferred Airline
Departure Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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31
2008
2009
From:
To:
Arrival Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
From:
To:
Alternative Gateways or Dates
Land Arrangements
Hotel Category
Select One
Deluxe
First Class
Tourist Class
Central Location
Non-central Location
Meals
Breakfast Daily
Breakfast and Lunch/Dinner
All Meals Daily
None
Supplement for Restaurants
Yes
No
Local Guide
Yes
No
Transfers / APT transfer?
Yes
No
Attractions required
Yes
No
Comments: