GROUP NAME:__________________________________________________________________

 

NAME:_______________________________________________________DOB:______________

 

Passport # ______________________________________________   EXP: _______________

 

American Airlines Frequent Flyer # __________________________ Seat Preference: ___________

 

NAME:______________________________________________________  DOB: ______________

 

Passport # ________________________________________________ EXP:    _________________

 

American Frequent Flyer # _________________________________Seat Preference: ____________

 

ADDRESS : _______________________________________________________________________________

 

CITY: ____________________________________________________________ ST: ______ ZIP: __________

 

PHONE: _______________________________    EMAIL: ___________________________________________

 

Cross Reference Me With: ____________________________________________________________________

 

PLEASE SELECT A ROOM TYPE :         Bedding request;      1 King ____________  2 Queens _____________

 

$___________ Double Room ____      $___________Ocean View _____ $___________ Superior Room ______

Rates based on double occupancy. Limited availability in each room category.

 

American Airlines, Group Flight Schedule (Subject to airline schedule changes)

October 9, 2016

Depart            Charlotte            10:00am;                Arrive               Punta Cana      1:25pm

 

October 14, 2016

Depart             Punta Cana          2:45pm;               Arrive                Charlotte           6:10pm

 

PAYMENT GUIDELINES:

Deposit:  $400 Per Person (Non-Refundable)                       Final Payment by July 25,2016

 

Rates based on double occupancy and include round-trip airfare from Charlotte as noted above, round-trip airport

To resort shuttle and 5 nights all-inclusive accommodations.

 

Alternate travel dates and/or departure cities may be available.

 

Trip insurance is recommended. Call Smoking Hot Vacations for rates and information.

 

I have enclosed my check for $_____________

 

Please bill my credit card $______________ (Credit card charges will apply)

 

CARD NUMBER ___________________________________________ EXPIRATION ____________________

 

Shirt size ______ T-shirt (free) ____             tank top ____$_____  Polo ____$_____ Dress shirt ____$_______

 

 

                                                 

                                                    For reservations and information, contact:

                                                                            David Smith

                                                                         2331 Hill Street

                                                            North Myrtle Beach, SC 29582

                                                                      (843-457-4685)