EmailMe Form - 3rd Annual Cigar & Sands Travel Group

EmailMeForm

Today's Date: *
MM / DD / YYYY
*. *. *. *. *. *PRIMARY TRAVELER*. *. *. *. *. *.
TRAVELER #1: Name as it appear on your Passport: *
First MI Last
TRAVELER #1: DOB: *
MM / DD / YYYY
TRAVELER #1: Wedding Anniversary Date:
MM / DD / YYYY
(if applicable)
TRAVELER #1: Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
TRAVELER #1: Email: *
TRAVELER #1: Mobile Phone Type *
Andriod
iPhone
Strictly for sending reminder text messages
TRAVELER #1: Phone *
### - ### - ####
TRAVELER #1: T-Shirt Size: *
3 XL
2 XL
XL
L
M
S
TRAVELER #1: - Airline Seat Choice: *
TRAVELER #1: Dietary restrictions? *
Do you have any dietary requirements? If so, please list them above.
TRAVELER #1: ADA requirements? *
Please list any disabilities or accessibility needs so we can place you on a suitable floor.
TRAVELER #1: ADD Rewards/Miles Numbers Here (if any):

Name: Number:

AIRFARE:

HOTEL/RESORT:
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TRAVELER #1: ARE YOU SHARING A ROOM? *
YES, book Double Occupancy (DBL OCC)
NO, book Single Occupancy (SGL)
Other (addition third person to your room)
If you have a traveling companion, complete the information in "Traveler #2" below. If there is no companion, skip to TRAVEL OPTIONS FROM DCA.
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*. *. *. *. ROOMMATE/TRAVELER #2: *. *. *. *.
ROOMMATE/TRAVELER #2: Name as it appears on your Passport:
First MI Last
ROOMMATE/TRAVELER #2:Birthdate:
MM / DD / YYYY
ROOMMATE/TRAVELER #2: Mobile Phone Type
Andriod
iPhone
Strictly for sending reminder text messages
ROOMMATE/TRAVELER #2: Phone
### - ### - ####
ROOMMATE/TRAVELER #2: Email address:
TRAVELER #2: ADA requirements?
Please list any disabilities or accessibility needs so we can place you on a suitable floor.
TRAVELER #2: Dietary restrictions?
Do you have any dietary requirements? If so, please list them above.
ROOMMATE/TRAVELER #2: T-Shirt Size:
3 XL
2 XL
XL
L
M
S
ROOMMATE/TRAVELER #2: Airline Seat Choice:
ROOMMATE/TRAVELER #2: ADD Rewards/Miles Numbers Here (if any):

Name: Number: Marriott Elite Status Level:

HOTEL/RESORT:

AIRFARE
1 / 3

Legna Travel
P: 540.699.0992 (faster response, please text)
E: info_travel@legnatravel.com
http://www.legnatravel.com

. . . . . PRIMARY TRAVELER. . . . . .

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************************************************

. . . . ROOMMATE/TRAVELER #2: . . . .

	Name:	Number:	Marriott Elite Status Level:
HOTEL/RESORT:
AIRFARE

*. *. *. *. *. *PRIMARY TRAVELER*. *. *. *. *. *.

************************************************

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*. *. *. *. ROOMMATE/TRAVELER #2: *. *. *. *.

. . . . . PRIMARY TRAVELER. . . . . .

. . . . ROOMMATE/TRAVELER #2: . . . .