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* = required field
Name *
E-mail address *
Mailing address
City
State:
Zip Code
Country
Phone * (no spaces, but you can use hyphens)
trip begins
(Mo/Day/Year) *
trip ends (Mo/Day/Year)
*
Gateway City:
(Cancun, Nassau, Grand Cayman)
Departing flight time
Return
flight time
First choice of
hotel
Second choice of
hotel
Third choice of
hotel
Number of nights in hotel:
How many persons in your group?
Number of Adults: *
Number
of children (11 or under):
Number of hotel rooms:
Would you
like to use a credit card?
Name on card:
Type card (Visa, M/C):
Number on card:
Expiration date on card:
Where did you hear about
us?
Names of those in your group (give
age of children)
First person's full name:
Second
person's name:
Third person's name:
Fourth person's name:
All names should be listed as
they appear on your passport.
If more than 4 persons in your
group use box below to add names and ages of children.
Please add comments below to help us plan your trip:
Cuba Travel USA will do
our best to confirm your request as soon as possible.
* = required field
Terms and
conditions If you need more information, please contact us
at:
reservations@cubatravelusa.com
415-888-3459
Cuba Travel USA |
