Last Name:First Name:
Spouse:
Address: City: State: Zip:
Home Phone: Cell Phone: Fax Phone:
Email:
How did you hear about us?
Expected Arrival Date: Arrival Time:
Expected Departure Date: Departure Time:

 

Room Accommodations:
Number of Nights: Number of Rooms: Number of Guests:
Adults 12 & UP: Children 7-11: Children 2 - 7: Infants Under 2:
Total in Room: (max 4)
Name: Age: Gender:
Name: Age: Gender:
Name: Age: Gender:
Name: Age: Gender:
Roll-away ($20 per night): Crib ($15 per night):
Beds:1 King2 Doubles

 

Ballroom seating: Family table: Please seat us with: Next to:
Family High Chair Yes No
Day camp: Number of Children (3-12 Yrs) Babysitting: Number of Children (6 Mths–3 Yrs)
Minyonim: Ashkenaz Sefard 6:30-7:30AM 7:30-8:30AM
Transportation to Hotel (Check All That Apply): Air train Bus Car Car Rental
Additional Information:
Total Quoted Price: $

 

I hereby authorize BumbleBee Tours to charge $
To my Credit Card # Exp CID
Billing Information:

 

 

Signature:

 

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