Military R & R Solutions, Inc | MRRS | Vacation Cruises and Packages for the Military

Travel Agreement

"MILITARY" R&R AGREEMENT

Today's Date :06.19.13

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

Guest #2:

Relationship to Guest#1	:
		First Name	Middle Name		Last Name
Name *	:
Date of Birth	:	(MM-DD-YYYY)	Age	:
Current Street Address	:
City	:		State	:
Zip	:
Primary Telephone Number	:	123-456-7890	Last 4 digit of SSN	:
Email Address	:		U.S. Citizen	:	Yes No
Confirm Email Address	:

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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