Your Holiday Reservation Certificate
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Holiday Destination/Resort
PHUKET
Baumanburi
Kata Palm
Baan Boa
Bayshore
KOH SAMUI
Samui Mermaid
Baan Bophut
PATTAYA
View Talay
BALI
Bali Shangrila Beach Club
Barong Hotel Kuta Bali
Dewi Sri Hotel Kuta Bali
Ida Hotel Kuta Bali
Seminyak Suite
HONG KONG
Hong Kong Gold Coast Residences
MALTA
Radisson SAS
SPAIN
Hollywood Mirage
Beverley Hills
Beverley Hills Heights
Palm Beach Club
Number of people traveling
Voucher No.
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Where did you Purchase the Voucher
Date of Preferred Travel
2nd date of Preferred Travel
3rd date of Preferred Travel
Special Requiements
1st Person Traveling
Lead
Name
Age
Nationality
Email Address
Occupation
Annual Income
2nd Person Traveling
2. Persons Name
Age
Nationality
Occupation
Annual Income
3rd & 4th Person Traveling
3. Persons Name
Age
Nationality
4. Persons Name
Age
Nationality
Relationship with 1st and/or 2nd person
Personal Info
English
French
German
Chinese
Japanese
Spanish
Married
Yes
No
If Yes how many years?
Living Together ?
Yes
No
If Yes how many years?
Home Address
State or City
Zip/Postcode
Country
Home Tel
Work Tel
Mobile Tel
Fax
Home owner ?
Yes
No
Credit Card Holder ?
Yes
No
Holiday Home Owner ?
Yes
No
Vacation Club Member ?
If Yes Club Name
Yes
No
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