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Manele
Bay Hotel, Lana'i CSAA Australia '03 - Reservation Form
Name as they Appear on your Passport(s) ________________________________________________ Company (If Applicable) ______________________________________________________ * Please correspond to the following __ office __ home address: Street ____________________________________________________Apt/Suite __________ City _____________________________________State __________Postal Code _________ Office Telephone _______________________ Fax _______________________ Home Telephone ________________________ e-mail _____________________________ First or preferred name/s for badge _________________________ Hotel Rooms __ Double Occupancy __ Single Occupancy __ I/We prefer 1 bed; if no kings available, queen is OK: __ no two beds __ I/We prefer a two-bedded room (preferences will be requested, but cannot be guaranteed ) __ Non smoking __ Smoking Sydney suite upgrade: __Yes, I/we wish to upgrade Early Arrival Sydney: __ Yes, we wish to pre-pay the night of October 24th; the room cost is $380. Papua New Guinea Extension: __ Yes, I/we will participate New Zealand Extension: __ Yes, we will participate __ As scheduled Nov. 2nd __ After Papua Deposit A deposit of $400 per person is required. __ Enclosed is a check payable to American Travel Association. __ If you wish to use an AMERICAN EXPRESS credit card, please complete the following: Number ____________________________________ Expiration date ____________ Name on card ___________________________ Signature ______________________________ Billing address of cardholder ____________________________________________________ ____________________________________________________________________________ I have read and understand the conditions set forth in this brochure. Reservations will not be accepted without signature here. __________________________________________ . Return form to: American Travel Association, 630 Hopewell Church Road, Pine Mountain, GA 31822 fax 706-663-2445
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