| CONTACT
INFORMATION |
First
Name
|
Last
Name
|
| NOTE:
Names must be completed as they appear on id |

|
| Address
|

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| City
|
State
Zip
|

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| Email
Address |
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| Office
Phone |
|

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| Home
Phone |
|

|

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| TRAVEL
INFORMATION |
| Destination/Package
Choice |
|

|
| Preferred
Departure Date |
|

|
| Preferred
Departure Time |
|

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| Preferred
Return Date |
|

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| Preferred
Return Time |
|

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| Alternate
Departure Date 1 |
|

|
| Alternate
Return Date 1 |
|

|
| Alternate
Departure Date 2 |
|

|
| Alternate
Return Date 2 |
|

|

|
| ADDITIONAL
INFORMATION |
Please
note names of additional traveler(s).
Note: Names must be complete as they appear on id
|
|

|
Please
note any special requirements (i.e., Handicap accessible
rooms, etc.)
|
|

|
Please
note any special requests (i.e., king bed non-smoking,
etc.)
Note: This is a request only and can not be guaranteed.
|
|

|

|
| DISCLAIMER |
| All
prizes are for two (2) people, based on double occupancy.
Airfare is based on coach class. Corporate Vacations will
make every attempt to confirm winners' preferences. Winners
must travel between March 1-September 30, 2001. For best
availability, reservations should be made as far in advance
as possible and at least 30 days prior to departure. Packages,
dates and travel times are subject to availability. Certain
blackout dates & other restrictions may apply. International
destinations require proof of citizenship. Clients may
extend, upgrade or include additional persons for their
vacation, however, they will be responsible for the added
expense. Cancellation and change penalties may apply and
vary by award option. Any such penalties will be the responsibility
of the recipient. Corporate Vacations can assist with
the purchase of travel insurance.
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