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Dubai 2018 Arabian Adventure
TRAVEL REGISTRATION FORM
Please complete all areas that have a red asterisk.
Full Legal Name
*
*Exactly
as it appears on your Photo ID or Passport if you are traveling outside the U.S.
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
+
Are you traveling outside of the U.S.
*
Yes
No
Passport Number
Passport Expiration
+
Deposit Amount (Required Per Person)
*
100.00
$150.00
*Authorized amount to charge on Credit Card*
**Deposits are NON-Refundable after 30 days**
***For more information contact info@prettydollfaces.com***
Will you need roommate assistance?
*
Yes
No
Travel Insurance
*
Yes: I wish to secure my vacation investment $159.
Yes: I wish to secure my vacation investment please add $159 to my first payment invoice.
No: I decline coverage and am willing the risk of loosing my investment.
Select Occupancy
*
Double
Single
Name of roommate or write N/A if you wished to have one assigned. Write SINGLE if paying for single occupancy
*
**PLEASE NOTE THE SINGLE OCCUPANCY RATE IS MORE EXPENSIVE***
***Write in SINGLE if applicable***
Custom Trip Memorabilia Shirt
*
Small
Medium
Large
X-Large
XX-Large
Processing Fee
*
3.5%
Emergency Contact Information Name and Number
*
Relationship to you?
*
Physical Limitations
Dietary Restrictions/Allergies
If applicable, PDI referral name?
Current Total:
$0.00
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