RESERVATION FORM – TRAVEL PLANNERS NEW YORK …

RESERVATION FORM ? TRAVEL PLANNERS NEW YORK UNIVERSITY MEDICAL CENTER, DEPARTMENT OF RADIOLOGY

WESTIN RESORT ST. JOHN, USVI FEBRUARY 13 - 17, 2006

Return to:

Travel Planners, Inc. 7550 IH10 West, Suite 1300 San Antonio, TX 78229

Phone: 210-341-8131 ? Fax: 210-341-5252

Email: NYU@

DEADLINE FOR RESERVATIONS AND PAYMENT: January 4, 2006

RESERVATIONS MAY BE BOOKED ON LINE AT:

IMPORTANT: Name(s) below must match those on documentation or airlines will deny boarding.

Last Name____________________________________ First __________________________________________

Spouse/Guest________________________________________________________________________________

Child(ren)___________________________Age_______ Child(ren)___________________________Age_______

Mailing Address ( )Home ( )Office___________________________________________________________

City/State/Zip________________________________________________________________________________

Home Phone (

)_____________________ Business Phone (

)______________________________

Fax (

)_________________________ E-mail _________________________________________________

HOTEL RESERVATIONS: Westin Resort St. John (Please place a 1, 2, 3& 4 to indicate category choice)

____Hillside Garden View @ $395

____Hillside Ocean View @ $450

____Pool View @ $480

____Beach Front @ $605

Arrival Date___________________________ Departure Date___________________# Persons in room________

Special Requests________________________________________________________________

If you have special needs, please attach a separate letter.

_____ I (we) wish to participate in the Tennis Tournament on Tuesday, February 14. ____# persons

AIRLINE RESERVATIONS

Arrange air transportation from (city)_____________________to arrive St. Thomas on (date)_________________

and return on (date)__________________________________ . Airline Preference (if any)___________________

Frequent Flyer # _______________________________

Seating Preference: Window _____ Aisle _____

PAYMENT SUMMARY ? Westin Resort, St. John, USVI

Hotel Deposit(s): (if not providing a credit card)*....._____room(s) @ 2 nights

$ _____________

Optional Activities.............................. _____Mon, 2/13 Tour of St. John @ $69 (each)

$ _____________

_____Tue, 2/14 Sunset Cruise @ $75 (adult)

$ _____________

_____Tue, 2/14 Sunset Cruise @ $36 (child)

$ _____________

_____Tue, 2/14 Leinster Bay Walk @ $75 (each)

$ _____________

_____Wed, 2/15 Cruise to Virgin Gorda @ $160 (adult) $ _____________

_____Wed, 2/15 Cruise to Virgin Gorda @ $85 (child) $ _____________

_____Wed, 2/15 Eco Hike @ $75 (each)

$ _____________

_____Wed, 2/15 Half Day Snorkel Sail @ $80 (adult) $ _____________

_____Wed, 2/15 Half Day Snorkel Sail @ $45 (child) $ _____________

_____Thu, 2/16 Half Day Snorkel Sail @ $80 (adult) $ _____________

_____Thu, 2/16 Half Day Snorkel Sail @ $45 (child) $ _____________

TOTAL:

$ _____________

? CHECK ENCLOSED made payable to NYU/Travel Planners, Inc.

? CREDIT CARD (Visa, MasterCard or American Express only)

( )Hotel Guarantee*

( ) Optional Activities

( ) Airline Tickets

Type of Card____________________ Account #____________________________________Exp. Date________

Billing

Name_____________________________Signature____________________________________Date_________

I have read and understand the booking/cancellation policies as outlined.

Signature:_______________________________________________________________ Date:_____________

*The hotel will charge the required deposits to your credit card approximately 30 days prior to arrival.

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