Ace's 70th Birthday Getaway
To reserve your space please complete the form below
Legal Name
*
Mr.
Mrs.
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First Name
Last Name
Preferred Name
Date of Birth
*
Month/Date/Year
Mailing Address
*
Street Address
Street Address Line 2
City
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Zip Code
Cell Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Preferred Method of Contact
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Travel Information
Do you have a passport expiring after June 2019?
*
Yes
No
Room Type Request
*
Double Occupancy (2 Double Beds)
Double Occupancy (King Bed)
Single Occupancy (King Bed)
Triple Occupancy (2 Double Beds)
Do you have a roommate request?
*
Yes
No
If yes, please list the name(s)
Would you like travel insurance?
*
Yes
No
Payment Option
*
Pay in Full
Payment Plan
I acknowledge that I have read this registration form completely and the information I provided is accurate. I understand that all payments are non-refundable and must be paid thru Paypal by the deadlines.
Do you agree to the terms and conditions
*
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No
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