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South
Africa Trip
Reservation
Passport Name: ___________________________________ Roommate
Name: ________________________
Address:
______________________________________________________Date of Birth:
________________
City:______________________________________________
State: __________________ Zip: ___________
Day Phone Number:
______________________________
Night Phone Number: _______________________
Email Address:
_________________________________________ Fax Number: _______________________
City Flying to New York From:
___________________________________
State: _______________________
Desire Single Supplement for $310.00 extra?
o Yes
o
No Desire PTPP for $134.00? o Yes
o
No
Comments or Special Needs:
_________________________________________________________________
__________________________________________________________________________________________
For each person reserving a space on the trip
the following needs to be mailed:
- 1. Trip Reservation form above needs to be
filled out for each person going
- 2. $500.00 per person deposit made payable to
"Commonwealth Travel, Inc."
- 3. Photo copy of Passport for each person going. Okay
later...but need EXACT NAME now.
The above three items for each person need to
be mailed to:
-
Mr. C. F. Sandy Pofahl
-
Commonwealth Travel, Inc.
-
6615 LBJ Freeway
-
Dallas, Texas 75240
If there are any questions, please phone me at
972-702-0000 during the day, 972-701-8900 during the night and weekends. My
email address is sandy@pofahl.com
The remainder of the cost for the trip is due
on or before August 15, 2003
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