The Best Once a Week

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Full Name:

Name Friends Call You:

Email:

Street Address:

City:

State:

Zip / Postal Code:

Mobile Phone:

Work Phone:

Home Phone:

Date of Birth (Month/Day/Year):

Emergency Contact Name:

Emergency Contact Phone:

For my $450 Deposit I will use:

Zelle: 972-702-0000
Venmo: @cfsandy

Check to:	Commonwealth Travel
	C.F. Sandy Pofahl 6615 LBJ Freeway Dallas, TX 75240

Roommate (if any):

Comments (optional):

Single Room Supplement for $995.00

Yes No

Travel Insurance for Double Room is $259 Single Room $325 paid with Final Payment

Yes No

Holiday Inn Express Reservation

Saturday, October 2nd
Tuesday, October 12th

Itinerary Map of Trip Annual Trips Price Details Reservation Form Deposit Passport Q & A

Please Complete for Each Person.

Full Name:

Name Friends Call You:

Email:

Street Address:

City:

State:

Zip / Postal Code:

Mobile Phone:

Work Phone:

Home Phone:

Date of Birth (Month/Day/Year):

Emergency Contact Name:

Emergency Contact Phone:

For my $450 Deposit I will use:

Zelle: 972-702-0000
Venmo: @cfsandy

Check to:	Commonwealth Travel
	C.F. Sandy Pofahl 6615 LBJ Freeway Dallas, TX 75240

Roommate (if any):

Comments (optional):

Single Room Supplement for $995.00

Yes No

Travel Insurance for Double Room is $259 Single Room $325 paid with Final Payment

Yes No

Holiday Inn Express Reservation

Saturday, October 2nd
Tuesday, October 12th

Yes No

Travel Insurance forDouble is $279.00 (Single $325.00) paid at time of Final Payment

Yes No

Single Room Supplement for $650.00

Yes No

$50.00 Discount if Final Payment by check. (Okay if deposit by credit card)

Yes No

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