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Dwight & Marguerite`s 33rd Anniversary
Choose your room below
  Prices and availability may change if not on deposit before 10/1/18     
Jr Suite Garden View
per person based on double rate $836.00
Jr Suite Ocean View
per person based on double rate $876.00
Grand Total:
Personal Information
First Name (as it appears on passport)*
Preferred First Name:*
Last Name:*
Second Person Name & Birthdate (same invoice/same address)
Address Line 1:*
Apt #
Zip Code:*
Marital Status:
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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