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Type
Draw

By signing, I understand that this is a legally binding contract.

Enter Credit Card

Card number

Name on card

Expiration date

Security code

Billing phone

Billing address

Secure connection

2024 December - Punta Cana

Dec 16, 2024 to Dec 23, 2024

Punta Cana, DR

Primary Traveler Information

Prefix

First name*

Middle name

Last name*

Suffix

Preferred name (nickname)

Primary email address*

Primary phone number*

Preferred Mode of Contact

Passport Information

Full name exactly as it appears on passport*

Passport number (not required at time of booking package)

Country of issue

Date of birth*

Date of issue

Date of expiration

Gender*

Flight Preferences

Note: Flight itineraries will be supplied through American Airlines. If you would prefer a different airline, please notate below. Selecting other airports or airlines besides American Airlines will affect pricing and deposit requirements.

Preferred Airline

Preferred Departure Airport*

DCA

IAD

BWI

Other

Seat preference

Window

Aisle

Opposite Aisle

Extra Leg Room/Premium

Bulkhead

Business Class

First Class

Middle

Forward

Wing

Please enter your AA Advantage Number. An AA Advantage number is required for all guests booking with American Airlines Vacations. If you are requesting a quote with a different airline enter "XXXXXXX" in both the first and second guest fields.

Guest #1 AA Advantage Number*

Other Loyalty Programs

ex: Hilton (Honors)

Delete loyalty program

Add loyalty program

Hotel & Resort Preferences

Please select your preferred room category.*

Junior Suite Garden View

Junior Suite Superior

Villa Junior Suite Superior (Adults Only)

Junior Suite Pool View

Junior Suite Jacuzzi Superior

Additional Occupancy Info

How many additional guests, including yourself, are staying in your room?*?

Please provide the full name(s) as it appears on the other adult's passport(s) in your party, the DOB and email address.*

Would you like to be quoted for travel insurance?*?

Yes - Allianz Classic Plan Insurance (lead-in travel insurance option)

Yes - Allianz Classic Plan with Cancel Anytime Insurance (offers the ability to cancel for unforeseen reason for 80% reimbursement)

How would you like to be invoiced?*

Invoice each guest separately

All guests on the same invoice

This concludes the Trip Form. Once you click submit, the travel advisor will submit an invoice with the most current pricing for the package.