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Brenda`s Birthday
Choose your room below
  Prices and availability may change if not on deposit before 8/1/18     
Jr Suite Garden View
  per person based on double rate
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T
Jr Suite Ocean View
  per person based on double rate
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T
Grand Total:
Personal Information
E-Mail:*

First Name (as it appears on passport)*

Preferred First Name:*

Last Name:*

Second Person Name & birthdate (same invoice/same address)

Address Line 1:*

Apt #

City:*

State:*

Zip Code:*

Marital Status:

Gender:

Date of Birth*

Cell Phone:*

Home Phone:*

Medical Concerns

Roommate- if different address*

Passport Number and expiration date

 
Beds together

 
Beds Apart

I wish to have Comfort Travel arrange my air

Air confirmed before 2/1/19
I wish to have Travel Insurance*

Call for pricing
All Major Credit Cards are accepted. Please call 708-841-9100 with your number.
Checks or money orders should be sent in care of DAVE at
Comfort Travel
824 E. Sibley Blvd
Dolton, Il 60419
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