Phone*:

Pax*: Adlt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 CHD 1 2 3 4 5 6 7 8 9 10 INF 1 2 3 4 5 6 7 8 9 10  

Arrival Date*: Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2010 2011 2012 2013 2014

Arrival Airport*: Select.................. Punta Cana PUJ La Romana LRM Santo Domingo SDQ Santiago STI Samana ABA Puerto Plata POP Barahona

Arrival Airline*:

Arrival Flight*:

Arrival Time*: Arrival Time 00:00 / 00:00 am 00:15 / 00:15am 00:30 / 00:30 am 00:45 / 00:45 am 01:00 / 1:00 am 01:15 / 1:15 am 01:30 / 1:30 am 01:45 / 1:45 am 02:00 / 2:00 am 02:15 / 2:15 am 02:30 / 2:30 am 02:45 / 2:45 am 03:00 / 3:00 am 03:15 / 3:15 am 03:30 / 3:30 am 03:45 / 3:45 am 04:00 / 4:00 am 04:15 / 4:15 am 04:30 / 4:30 am 04:45 / 4:45 am 05:00 / 5:00 am 05:15 / 5:15 am 05:30 / 5:30 am 05:45 / 5:45 am 06:00 / 6:00 am 06:15 / 6:15 am 06:30 / 6:30 am 06:45 / 6:45 am 07:00 / 7:00 am 07:15 / 7:15 am 07:30 / 7:30 am 07:45 / 7:45 am 08:00 / 8:00 am 08:15 / 8:15 am 08:30 / 8:30 am 08:45 / 8:45 am 09:00 / 9:00 am 09:15 / 9:15 am 09:30 / 9:30 am 09:45 / 9:45 am 10:00 / 10:00 am 10:15 / 10:15 am 10:30 / 10:30 am 10:45 / 10:45 am 11:00 / 11:00 am 11:15 / 11:15 am 11:30 / 11:30 am 11:45 / 11:45 am 12:00 / 12:00 pm 12:15 / 12:15 pm 12:30 / 12:30 pm 12:45 / 12:45 pm 13:00 / 1:00 pm 13:15 / 1:15 pm 13:30 / 1:30 pm 13:45 / 1:45 pm 14:00 / 2:00 pm 14:15 / 2:15 pm 14:30 / 2:30 pm 14:45 / 2:45 pm 15:00 / 3:00 pm 15:15 / 3:15 pm 15:30 / 3:30 pm 15:45 / 3:45 pm 16:00 / 4:00 pm 16:15 / 4:15 pm 16:30 / 4:30 pm 16:45 / 4:45 pm 17:00 / 5:00 pm 17:15 / 5:15 pm 17:30 / 5:30 pm 17:45 / 5:45 pm 18:00 / 6:00 pm 18:15 / 6:15 pm 18:30 / 6:30 pm 18:45 / 6:45 pm 19:00 / 7:00 pm 19:15 / 7:15 pm 19:30 / 7:30 pm 19:45 / 7:45 pm 20:00 / 8:00 pm 20:15 / 8:15 pm 20:30 / 8:30 pm 20:45 / 8:45 pm 21:00 / 9:00 pm 21:15 / 9:15 pm 21:30 / 9:30 pm 21:45 / 9:45 pm 22:00 / 10:00 pm 22:15 / 10:15 pm 22:30 / 10:30 pm 22:45 / 10:45 pm 23:00 / 11:00 pm 23:15 / 11:15 pm 23:30 / 11:30 pm 23:45 / 11:45 pm

Hotel Name*:

Departure Date*: Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2010 2011 2012 2013 2014

Departure Airport*: Select.................. Punta Cana PUJ La Romana LRM Santo Domingo SDQ Santiago STI Samana ABA Puerto Plata POP Barahona

Departure Airline*:

Departure Flight*:

Departure Time*: Arrival Time 00:00 / 00:00 am 00:15 / 00:15am 00:30 / 00:30 am 00:45 / 00:45 am 01:00 / 1:00 am 01:15 / 1:15 am 01:30 / 1:30 am 01:45 / 1:45 am 02:00 / 2:00 am 02:15 / 2:15 am 02:30 / 2:30 am 02:45 / 2:45 am 03:00 / 3:00 am 03:15 / 3:15 am 03:30 / 3:30 am 03:45 / 3:45 am 04:00 / 4:00 am 04:15 / 4:15 am 04:30 / 4:30 am 04:45 / 4:45 am 05:00 / 5:00 am 05:15 / 5:15 am 05:30 / 5:30 am 05:45 / 5:45 am 06:00 / 6:00 am 06:15 / 6:15 am 06:30 / 6:30 am 06:45 / 6:45 am 07:00 / 7:00 am 07:15 / 7:15 am 07:30 / 7:30 am 07:45 / 7:45 am 08:00 / 8:00 am 08:15 / 8:15 am 08:30 / 8:30 am 08:45 / 8:45 am 09:00 / 9:00 am 09:15 / 9:15 am 09:30 / 9:30 am 09:45 / 9:45 am 10:00 / 10:00 am 10:15 / 10:15 am 10:30 / 10:30 am 10:45 / 10:45 am 11:00 / 11:00 am 11:15 / 11:15 am 11:30 / 11:30 am 11:45 / 11:45 am 12:00 / 12:00 pm 12:15 / 12:15 pm 12:30 / 12:30 pm 12:45 / 12:45 pm 13:00 / 1:00 pm 13:15 / 1:15 pm 13:30 / 1:30 pm 13:45 / 1:45 pm 14:00 / 2:00 pm 14:15 / 2:15 pm 14:30 / 2:30 pm 14:45 / 2:45 pm 15:00 / 3:00 pm 15:15 / 3:15 pm 15:30 / 3:30 pm 15:45 / 3:45 pm 16:00 / 4:00 pm 16:15 / 4:15 pm 16:30 / 4:30 pm 16:45 / 4:45 pm 17:00 / 5:00 pm 17:15 / 5:15 pm 17:30 / 5:30 pm 17:45 / 5:45 pm 18:00 / 6:00 pm 18:15 / 6:15 pm 18:30 / 6:30 pm 18:45 / 6:45 pm 19:00 / 7:00 pm 19:15 / 7:15 pm 19:30 / 7:30 pm 19:45 / 7:45 pm 20:00 / 8:00 pm 20:15 / 8:15 pm 20:30 / 8:30 pm 20:45 / 8:45 pm 21:00 / 9:00 pm 21:15 / 9:15 pm 21:30 / 9:30 pm 21:45 / 9:45 pm 22:00 / 10:00 pm 22:15 / 10:15 pm 22:30 / 10:30 pm 22:45 / 10:45 pm 23:00 / 11:00 pm 23:15 / 11:15 pm 23:30 / 11:30 pm 23:45 / 11:45 pm

Travel Agency*:

Message*:

See the next page and you can find the vochers!!!!... The total payment could be two or three pay.