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Panama Vacation Registration Form
April 19-23, 2023
Central Hotel, Panama City
Deposit $100 per person
One form per traveling adult
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Email
*
Your email
Full Name as it appears on your passport
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Billing Address
*
Your answer
Phone number
*
Your answer
Roommate Name (If Applicable)
*
Your answer
CENTRAL HOTEL Select Room Type ( All rooms hold 1-2 guests, please scroll to the bottom for room details)
*
Suite ($1,200 pp Double & $2, 200 Single)
Premium ($800 Double, $1100 single)
Optional Additional Tours
Taboga Catamaran Tour $100
Embera Village Full Day Experience $150
Monkey Island Tour $75
Panama Canal Tour (FREE WITH BLACK FRIDAY DEAL)
Do you want travel insurance added to your package?
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Yes
No
Do you want airfare added to your package? If yes, please write the name of the airport you will travel from.
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Your answer
T-Shirt Size (Unisex Adult)
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XS
S
M
L
XL
XXL
Other:
Failure to adhere to established payment schedule may result in room cancellation without refund. Cancellations must be requested in writing. Do you understand that airfare, room deposits and travel insurance payments are nonrefundable?
I Understand
Clear selection
CENTRAL HOTEL PREMIUM ROOM. SOLD OUT
CENTRAL HOTEL
CENTRAL HOTEL SUITE
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