Airline Reservation Form

GOMEZ - YANEZ WEDDING AUGUST 4 – 8, 2010 AIRLINE RESERVATIONS Guest Name 1

__________________

_______ LAST NAME

FIRST NAME (As it appears on passports)

BIRTHDATE

Guest Name 2

________________ LAST NAME

FIRST NAME (As it appears on passports)

BIRTHDATE

Guest Name 3

________________ LAST NAME

FIRST NAME (As it appears on passports)

BIRTHDATE

Guest Name 4

________________ LAST NAME

FIRST NAME (As it appears on passports)

BIRTHDATE

Mailing Address: City:

State:

Business Phone:

Zip:

Home Phone:

Fax:

FLIGHT INFORMATION 8/4/10 Mexicana Airlines 861 departs New York/JFK at 820am and arrives Cancun at 1150am 8/8/10 Mexicana Airlines 860 departs Cancun at 545pm and arrives New York/JFK at 1020pm Schedules are always subject to change Airfare: $253.00/$84.42tax and surcharges – Total cost $337.42 (taxes and surcharges are always subject to change until ticketing. PASSPORTS ARE REQUIRED FOR TRAVEL Passports: Anyone traveling to and from the Caribbean must have a passport. To save time and money apply for your passport today. Payments can be made via checks Payable to Liberty Travel or a Credit Card. If paying by credit card a 3% service fee will be added to your payment. Initial deposit of $100.00 per person is required no later than 12PM November 20, 2009 ________________. A group consists of a minimum of 10 persons. Ten persons must sign up for this airfare to be valid. All reservations are subject to availability, first come-first served Credit Card #:  MasterCard  Visa  American Express numbers on back of credit card)

Expiration Date: CVV#:

(the last 3

I authorize Liberty Travel to charge $__________ to my credit card. ____________________ Signature of card holder

PLEASE RETURN VIA MAIL OR FAX BY 12PM NOVEMBER 20, 2009 OR SOONER TO: DAWN SYLVESTER: LIBERTY TRAVEL 69 SPRING STREET, RAMSEY, NJ 07446 PHONE:: 800-992-0509 X 3201 FAX: 201-760-1248 EMAIL: [email protected]