FLIGHT Reservation Request Form

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Record Locator #: _____________ Last name:_________________ First name:______________
(apellido)
(primer nombre)
FLIGHT Reservation Request Form
(forma de reservacion de vuelo)
U.S. DEPARTURE DATE (fecha de salida de EE. UU.):
U.S. Departure Airport (aeropuerto EE. UU.):
Cuba Arrival Airport (aeropuerto Cuba):
Flight Time (hora de vuelo):
Flight Number (numero de vuelo):_____________
____________
(MM/DD/20YY)
__________________
__________________
____ / ____ (HH/MM)
AM
PM
CUBA DEPARTURE DATE (fecha de salida de Cuba):
Cuba Departure Airport (aeropuerto Cuba):
U.S. Arrival Airport (aeropuerto EE. UU.):
Flight Time (hora de vuelo):
Flight Number (numero de vuelo):_____________
(MM/DD/20YY)
____________
__________________
__________________
____ / ____ (HH/MM)
AM
PM
CHARTER (charteador): --- Select ---OFAC CATEGORY (categoría de OFAC): --- Select ---PASSENGER (pasajero):
Adult (adulto)
COUNTRY OF RESIDENCE (pais residencia):
Child [2 to 11] (niño)
Age on "Cuba Departure Date"
U.S.A. (EE. UU.)
Infant (infante)
OTHER (otro): _________________
___________________________ _________ __________________ ___________ _____________
Street (calle)
Apt. (apto.)
City (ciudad)
State (estado) ZIP (codigo postal)
U.S. Cell Phone #:
PASSPORT (passaporte):
# (numero): ___________________ / COUNTRY OF ISSUE (pais de expide): ___________________
EXPIRATION DATE (fecha de vencer) ____________ (MM/DD/20YY)
D.O.B. (fecha de naciemento): _____________
(MM/DD/YYYY)
SEX (sexo): M
F
OTHER DOCUMENT (otro documento):
Cuban Passport (passaporte cubano)
U.S. Resident Alien Card
(tarjeta de residencia EE. UU.)
# (numero): ______________________
EXPIRATION DATE (fecha de vencer) ____________ (MM/DD/20YY)
U.S. Visa
NOTES (notas): ___________________________________________________________________
FOR CHARTER USE ONLY (para charteador uso exclusivo):
Yes (si)
No(no)
Price U$D (precio USD) ____________
Comments (comentarios):
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REV 01-22-15
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