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Salsa Bachata Dance Vacation in Mexico 2018
7 Night Registration and Payment - Please fill out for every individual separately
7 or 5 Night All-Inclusive August 12 to August 19 - Price per Person
Single 7 Night
Single Occupancy for 1
Q
T
Double 7 Night
Double Occupancy for 2
Q
T
Double 5 Night
Double Occupancy for 2 for 5 Nights
Q
T
Triple 7 Night
Triple Occupancy for 3
Q
T
Quad 7 Night
Quad Occupancy for 4
Q
T
Child 2 & Under 7 Night
Child 2 and younger
Q
T
Child 3-12 7 Night
First Child 3 to 12 years old
Q
T
Double 10 Night
Double Occupancy for 2
Q
T
Triple 10 Night
Triple Occupancy for 3
Q
T
Quad 10 Night
T
Child 3-12 7 Night
Second Child 3 to 12 years old
Q
T
Child 2 and younger
Q
T
Child 2-12 10 Night
Child 3 to 12 years old
Q
T
Grand Total:
Personal Information
E-Mail:*

Phone #:*

First Name (as on US Passport):*

Middle Name:

Last Name (as on US Passport):*

Address Line 1:*

Address Line 2:

Rooming with:

Rooming with:

Rooming with:

City:*

State:*

Zip Code:*

Gender:

Date of Birth*

US Passport/GreenCard Expiration Date*

Travel Date*

Affiliate Code*

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