Winter Beach Party 2010


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Online Winter Beach Party Registration

Please complete this by August 25th. Questions or Comments can be directed to:CFROST@WINTERBEACHPARTY.COM

Sponsoring company for your trip:

PARTICIPANT INFORMATION
(First, Middle and Last name must be as shown on ID/passport)

Last name
First name
Middle name
Date of Birth
Email

Address
City State Zip Code
Telephone:

Home
Work
Travel Cell Phone

GUEST INFORMATION
(First, Middle and Last name must be as shown on ID/passport)

Last name
First name
Middle name
Date of Birth

Address
City State Zip Code
Telephone:

Home
Work
Travel Cell Phone

AIRLINE INFORMATION

Airline used will be departing from SEA-TAC Airport in Seattle, WA

Arrivals and Departures will leave to and from Sea-Tac Airport in Seattle.
United Mileage Plus #
Alaska Airlines Mileage #

I would like to purchase shuttle passes for $15 per pass.
(1 pass covers pick up and return from airport to hotel for 1 person)

Any Special requirements during travel

Snorkle Cruise Sign up
I would like to purchase snorkle cruise's for $99 per person.

HOTEL ACCOMODATIONS: Fairmont Orchid, Kohala Coast Hawaii

Your Beach Party getaway includes 4 nights stay at the beautiful Fairmont Orchid. Additional nights are available in a LIMITED supply - first come first served---at our group rate:
$199 per night plus taxes which includes the 5 Star breakfast buffet every day for two. Please indicate how many extra nights you would like to stay:

ACCOMMODATION REQUIREMENTS

Any Special requirements?

Do you have any pre-existing medical conditions?

ANY OTHER REQUIREMENTS

Billing Information

Card Type:
Card Number:
Exp Date: (month) (year)
3 Digit Code on Back of Card:

Thank you for your request and we look forward to being of assistance to you