EmailMe Form - Erin & Jack's Galactic Vow Renewal In Las Vegas!

EmailMeForm

Guest #1 *
Prefix First MI Last Suffix
Birth Date *
MM / DD / YYYY
Gender *
Male
Female
Guest #2
Prefix First MI Last Suffix
Birth Date
MM / DD / YYYY
Gender
Male
Female
Primary Household Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Primary Phone *
### - ### - ####
Primary Email *
EVERYONE WILL BE STAYING AT THE D LAS VEGAS
Please select the nights you are requesting accommodations. Thank you.

DOUBLE QUEEN ROOM

Sat., Nov. 1st

Sun., Nov. 2nd

Mon., Nov. 3rd

Tue., Nov. 4th

Wed., Nov. 5th

Thu., Nov. 6th

Fri., Nov. 7th
Special Needs / Requests
Near Elevator
Accessible
Adjoining
Dietary
CPAP
Mobility Concerns
Comments per above:
Are you interested in attending
"THE TOURNAMENT OF THE KINGS"
at Excalibur on Monday, Nov. 3rd. @ 6:00 pm
PRICE ... $87.01 Per person
Includes all taxes, fees and service charges.
YES
NO
Please provide your credit card info to reserve your room(s) and purchase your tickets to The Tournament of Kings. We will contact you for verbal approval before we process any charges onto your credit card. *

Card Number

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If card address is different from the Primary Household Address listed above, please enter the info here:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Thank You from ERIN & JACK!

May The (Nov.) 4th Be With You!

A Special Thank You
from the Travel Advisors at
R & R Getaways - Dream Vacations
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	DOUBLE QUEEN ROOM
Sat., Nov. 1st
Sun., Nov. 2nd
Mon., Nov. 3rd
Tue., Nov. 4th
Wed., Nov. 5th
Thu., Nov. 6th
Fri., Nov. 7th