Hotel Reservation Form




- REQUIRED FIELD
If any required field is NOT completed, you must
retype all information when you re-submit the form.

First Name:Required Field
Last Name:Required Field
E-Mail Address:Required Field
Daytime Phone:Required Field
()
(Area Code) Phone Number

Evening Phone:Required Field
()
(Area Code) Phone Number

Company Name:
Fax Number:()
Mailing Address:
City, State / Province: ,
Country, Zip Code: ,
Location:
Hotel Choice #1:
Hotel Choice #2:
# of Rooms: # of Nights / Duration
Number of Guests:
Type of Room:
I am Interested in an Air Package Yes:
If you request an airline package, a travel specialist will contact you Depart City: Depart: 2nd Choice  
Airline Preference: Other
Frequent Flyer #:
Arrival Date: Time:
Departure Date or approximate: Time:
For Information  Only Please Call
     1-888-690-1017
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Visa Master Card American Express Discover
Cardholder:
Card Number:
Expiration Date: /
Comments or Requests:

      You will receive a confirmation by fax or email
            for the above reservation.      Thank you.


World Wide Vacations

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World Wide Vacations Internet Worldwide Vacations Inc
3110 Polaris Avenue Suite #23
Las Vegas, Nevada 89102

U.S.A. Toll Free 800-926-6836
International 702-697-8800
Fax 702-697-8839

E-mail:
reserve@worldwidevacations.com