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Rebeca & Shantel's Cancun Wedding

May 7, 2026 to May 10, 2026

Playa Mujeres, Cancun, Mexico

Rebeca & Shantel's Wedding - Double Occupancy- Grand Palladium- All Ages Jr. Suite Poolside OV —

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<html>
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		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
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		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
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			<option label="Carson High School" value="carson-high-school">Carson High School</option>&#13;
			<option label="Banning High School " value="banning-high-school-">Banning High School </option>&#13;
			<option label="Gardena High School " value="gardena-high-school-">Gardena High School </option>&#13;
			<option label="Narbonne High School " value="narbonne-high-school-">Narbonne High School </option>&#13;
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Deposit of $0.00 due on September 3, 2025

Monthly Payment #1 of $178.57 due on October 4, 2025

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Rebeca & Shantel's Cancun Wedding

May 7, 2026 to May 10, 2026

Playa Mujeres, Cancun, Mexico

Rebeca & Shantel's Wedding - Double Occupancy- Grand Palladium- All Ages Jr. Suite Poolside OV —

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Total —

Due now —

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Rebeca & Shantel's Cancun Wedding

May 7, 2026 to May 10, 2026

Playa Mujeres, Cancun, Mexico

Rebeca & Shantel's Wedding - Double Occupancy- Grand Palladium- All Ages Jr. Suite Poolside OV —

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Total —

Due now —

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Rebeca & Shantel's Cancun Wedding

May 7, 2026 to May 10, 2026

Playa Mujeres, Cancun, Mexico

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INCOMPLETE

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Rebeca & Shantel's Cancun Wedding

Rebeca & Shantel's Cancun Wedding

May 7, 2026 to May 10, 2026

Playa Mujeres, Cancun, Mexico

Rebeca & Shantel's Cancun Wedding

May 7, 2026 to May 10, 2026

Playa Mujeres, Cancun, Mexico