NEVADA HOLIDAY RESERVATION REQUEST


Name (print): _______________________________________               E-Mail: _______________________________________
                          Last                                    First

Mailing address: ________________________________________________________________________________________
                                                                                                                                                           City                  State                  Zip code

Phone: _______________________________________         Alternate Phone: _______________________________________

D.O. Birth  _____         _____         _____


    Price
Trip choice: 3 night Minot $__________
  3 night Williston $__________
  4 night Minot $__________
  4 night Williston $__________
 
Res. fee Date Trip paym. Date
$ __________ __________ $ __________ __________
$ __________ __________ $ __________ __________
$ __________ __________ $ __________ __________
$ __________ __________ $ __________ __________
Office use only

Payment Method:         US Bank ______         Pay Pal ______

Traveling with: _______________________________________         _______________________________________
                          Friend: name                                                                                 Group: name

What activities in Las Vegas are you interested in?: __________________________________________________________________________________________________
                                                     Email : nvhdays@gmail.com                                    Fax: 530-926-0247

You can fill out the above Reservation Form and Scan and Email it to us OR just answer the following questions and Email them to us. Our staff will input them into the computer from there.
nvhdays@gmail.com
Last name
First name
Email address
Street
Mailing address
City
Zip code
Phone number
Alternate phone# {employer OK}
Employer
Occupation
Date of birth [required by airline]
Trip requested [3 or 4 day] Williston or Minot]
Current price quoted $
Payment Method [US Bank or Pay Pal] (we will email you with payment instructions)
Name of friend or group traveling with
Activities in LV you are interested in:




E


< Previous