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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 $952.00
  
Jr Suite Ocean View
per person based on double rate $1000.00
  
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
I wish to have Travel Insurance*
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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