"MILITARY" R&R AGREEMENT
Today's Date :04.18.14
Guest #1 Information:
* Indicates Required fields.
     First Name Middle Name       Last Name
Name * :     
Date of Birth :
(MM-DD-YYYY)
Age :
Branch of Service : Rank :
Discharge Date :
(MM-DD-YYYY)
U.S. Citizen : Yes No
Military/Current Street Address * :
City * : State * :
Zip * :
Primary Telephone Number * : 123-456-7890
Alternate Telephone Number : 123-456-7890
Email Address * :
Confirm Email Address * :
Permanent Street Address * :
City * : State :
Zip * :
Last 4 digit of SSN * : Rep Code :
     First Name Last Name
Name of Person Referring You? :   
Phone Number of Person Referring You? :
How Did You Find Us ?(google,friend,commercial,etc.) :
Will you have a guest with you? : Yes No Will add later
Select Your R&R Dream Vacation: At the time of booking you may choose a 5 to 7 Day Stay for 2 at an All-Inclusive Exotic Resort in Mexico, Jamaica or the Bahamas OR a 5 to 7 Day Carnival Luxury Caribbean Cruise for 2 with a private balcony.
R&R Dream Code A
  $ 99.00 per month for 24 Months
   
R&R Dream Code B
  $149.00 per month for 24 months
*Our dream vacations do not include airfare; however we are happy to assist you in getting the best possible price on airfare if needed at time of booking.
 
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