Untitled Document

Margotour - Reservation Center
3045 Rosecrans, Suite 113
San Diego, CA 92110
Phone: (619) 222-5243 / Toll Free: 1-888-224-7946

Please fill out, print,
sign and fax to:
(619) 222-4643

PERSONAL INFORMATION

First Name:

MI:

Last Name:

Email:	Phone:

Adult Child (age 2-12) Infant (Less than 2 years old)

FLIGHT INFORMATION

Rount Trip One Way

CLASS: Econ. Business First

Preferred Airlines: 1) 2)

Departure City:	Date:
Arrival City:	Return:
Comments:

OTHER PASSENGERS

First Name:	MI:	Last Name:

Adult Child (age 2-12) Infant (Less than 2 years old)
Comments:

First Name:	MI:	Last Name:

Adult Child (age 2-12) Infant (Less than 2 years old)
Comments:

First Name:	MI:	Last Name:

Adult Child (age 2-12) Infant (Less than 2 years old)
Comments:

CREDIT CARD INFORMATION - MONEY ORDER

Visa AMEX Master Card Discover M.O.#

First Name:	MI:	Last Name:

Street:	City:

State:	Zip:

Signature:___________________________________ Date:______/_______/_______

* We deliver Priority Mail United States Postal Service (3-4 business days).
If you want overnight delivery please check below:

USD$ 15.00 Overnight Delivery USD$ 25.00 Saturday Delivery

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