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Vacation Information

Departure Date	Select Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010
Names of Passenger(s)
Number of Adults		Number of Children (under 12 yrs)
Honeymoon	(Honeymooners may qualify for special discounts and amenities.)
Other Special Occasions	(Example, 10th Wedding Anniversary)
Budget per Person	Select: under $1000 $1000 to $2000 $2000 to $3000 $3000 plus
Island Preferences
Island Preferences	Tahiti Moorea Bora Bora Huahine Raiatea Taha'a Rangiroa Tikehau Manihi Fakarava Marquesas Others
Number of Nights
Hotel Preference	Select: Deluxe (5 Tiare) First Class (4 Tiare) Moderate (3 Tiare) Standard (2 Tiare) Budget (1 Tiare) For more information on how we rate our hotels, click here.
Additional Comments	Please enter in the field below any special requests or interests you have such as specific hotels, room categories, wedding ceremonies, scuba diving, etc...

Contact Information

Note: The fields marked with a are required.

First Name		Last Name
Street Address and Apt./Suite No.		City
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Country
Home Phone	( )	Work Phone	( )
Fax	( )	E-mail (*)
Best time to contact		Preferred to be contacted by	Please select Work Phone Home Phone e-mail Fax Travel Agent
Preferred Travel Agency		Agent's Name
Agent's Phone Number	( )	Agent's E-mail (*)
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19891 Beach Blvd #107 - Huntington Beach - CA 92648 - USA Tel: 1 (714) 374 5656 - Fax: 1 (714) 374 7262 - E-mail: info@tahitilegends.com