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Reservation Form

Departing City:

Departure Date:

Destination City:

Returning Date:

Cell Phone:

Work Phone:

Contact Name:

Home Phone:

E-mail:

Method of Payment:

Accomodations:

Names of Passenger(s):

1. Last Name, First:

Phone:    (718) 949-TOUR

Fax:         Fax: (888) 448-2271

Mail:        D&E Travel Corp.

                 189-19 Linden Blvd., Rear, St. Albans,  NY, 11412

Email:     request@dnetravel.com

Terms & Conditions

Please fill out this easy-to-use form and a Travel Consultant will contact you. All requests submitted

are request only. Requests are not confirmed until your booking is confirmed to you via phone or email.

Please  provide us with both day & evening  phone numbers. No tickets will be shipped and your credit card will not be billed until we are able to reach you and recap your reservation. Some restrictions apply.

2. Last Name, First:

4. Last Name, First:

3. Last Name, First:

5. Last Name, First:

6. Last Name, First:

   Budget:

D & E Travel Corp.

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