Tiffany and Luke's Wedding in Jamaica

ON-LINE RESERVATION FORM

Name-Passenger 1: Date of Birth 
Name-Passenger 2: Date of Birth 

Home Phone:    

Cell Phone: 

Home Address: 

City/ST/Zip:   

   E-mail address: 

 Please Make my reservations at :   

 Departure Date:              Length of stay:           
    Air City Requested:   

Additional Information: 

 Please make reservations on my behalf and charge my credit card for the deposit of $400 per room.   
I Understand the terms and conditions and the payment schedules.   I understand that cancellation   penalties will apply after my deposit is applied to my reservation.   Please Check Box to Accept

Credit Card Type:       
Credit Card Number:          Exp. Date (mm/yyyy)  

 Electronic Signature-- Please enter the 4 digit CID number on the face of your Credit Card in the box  provided.  DO NOT enter your PIN #.   The CID # can usually be found above the expiration date on your card.
If your card does not have a CID#, enter the last 4 digits of your Social Security # here