First Passenger Information
* Full Legal Name
AS IT APPEARS ON YOUR PASSPORT
You will be responsible
for any penalty fees as a result of incorrect information provided.
* Passport Number
All U.S. citizens will be required to present
a valid U.S. passport for travel outside the United States.
* Passport Expiration Date
mm/dd/yyyy
* Passport Issuer
It is the responsibility of
the passenger to consult the airline or consulate for proper and acceptable
documentation if passport was not issued in the U.S.
* Home Address
* City
* State
* Zip Code
* Home Phone
* Cell Phone
* Preferred
Email Address
* Shirt Size
S, M, L, XL, XXL * Are you
interested in participating in the half day Outback Safari excursion on Friday,
morning November 9th?
Yes /
No
Half day Outback Safari
Are you
interested in playing golf?
Yes / No
Paradisus
Palma Real Spa & Golf
This link will open a new browser window
Are you
interested in spa services?
Yes / No
Paradisus
Palma Real Spa & Golf
This link will open a new browser window
Are you
interested in optional excursions? Yes / No
Amstar
Excursions Punta Cana
This link will open a new browser window
Second
Passenger Information
* Full Legal Name
AS IT APPEARS ON YOUR PASSPORT
You will be responsible
for any penalty fees as a result of incorrect information provided.
Passport Number
All U.S. citizens will be required to present
a valid U.S. passport for travel outside the United States.
Passport Expiration Date
mm/dd/yyyy
Passport Issuer
It is the responsibility of
the passenger to consult the airline or consulate for proper and acceptable
documentation if passport was not issued in the U.S.
If different
from above:
Home Address
City
State
Zip Code
Home Phone
Cell Phone
Preferred
Email Address
Shirt Size S, M, L, XL
Are you
interested in participating in the half day Outback Safari excursion on Friday,
morning November 9th?
Yes /
No
Half day Outback Safari
Are you
interested in playing golf?
Yes / No
Paradisus
Palma Real Spa & Golf
This link will open a new browser window
Are you
interested in spa services?
Yes / No
Paradisus
Palma Real Spa & Golf
This link will open a new browser window
Are you
interested in optional excursions? Yes / No
Amstar
Excursions Punta Cana
This link will open a new browser window
Business Information
* Company Name
* Address
* City
* State
* Zip Code
* Business Phone
Ext.
* Email Address
Are you
interested in arriving early or extending your stay? Yes / No
If so, what
dates?
From:
mm/dd/yyyy
To: mm/dd/yyyy
* What major
airport will you and your guest travel from?
* How would
you like your room configured?
One
king or Two doubles
