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APARTMENT RESERVATION FORM

Please be sure to include your phone number and email address.
A World Wide Travel Service representative will contact
you within 2 days of receipt of this form.

First Name:
Last Name:
Email Address:
Phone Number:
Fax Number:
Address:
City:
State:
Zip Code:
Country:
Passport #:
Date of Birth:
Destination City and Country:
Please, be sure, that the apartment you have chosen
is in the same city you are going to.
Apartment:
Number of Guest:
Date of Arrival: 
Date of Departure: 
Would you like airport pickup?
No thanks 
1-2 persons $25 
3-5 persons $35 
6-10 persons $40 

The antibot code:
Please confirm the antibot code:   error

You may also contact our office at 602-553-8178 ext 212
and make your reservation by phone.



7227 N. 16th St. Suite 240
Phoenix AZ 85020
(602)553-8178 ext 212
fax (602)468-1119



Astoria Hotel


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(602) 553-8178
www.fiancee-visa.com

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