Air Form

PERSONAL INFORMATION:
Date:
.
Name:
.
Address:
.
City:
.
State:
.
Postal Code:
.
Country:
.
Phone:
.
Fax:
.
E-Mail:
.

 

FLIGHT INFORMATION:
FLIGHT #1
# Adults: . # Children: . # Infants: .
FROM: . Flight Number: .
TO: .
Departure: . Return: .
If you are finished, please Print Out and fax to us
FLIGHT #2
# Adults: . # Children: . # Infants: .
FROM: . Flight Number: .
TO: .
Departure: . Return: .
If you are finished, please Print Out and fax to us
FLIGHT #3
# Adults: . # Children: . # Infants: .
FROM: . Flight Number: .
TO: .
Departure: . Return: .
If you are finished, please Print Out and fax to us

 

PAYMENT INFORMATION: (CREDIT CARD INFORMATION:)
Please find my Credit Card Information below:.
Name as Appears on Card: .
Type of Credit Card: Visa_______Master Card________
Credit Card Number: .
Expiration Date: Month: _____________Year:____________
Credit Card Billing Address: .
Address: .
City: .
State: .
Postal Code: .
Country: .
.
I authorize Hotel Santo Tomas to charge my Credit Card US$ ___________
for services to be rendered in month ___________of year _____________.


I fax this form acknowledging and accept that I have read the terms and conditions and am aware of the penalties for cancellation and "no show".

Signature:__________________________________________________
For signature confirmation please also fax a copy of any ID with your signature, (I.E. passport, Drivers License )