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First Name: Middle Initial:

Last Name: Address:

City: State:

Zip: E-mail:

Phone # (required): Fax:

Departure Date (MM/DD/YY): // Destination:

Return Date (MM/DD/YY): // Type of Trip:

Rental Car: Hotel Accommodations:

Which Hotel: How Many Adults: How Many Children:

How would you like us to confirm your travel plans?

E-mail: Phone: Fax:

17th Avenue and Division Street St. Cloud, MN 56301
Phone (320) 253-6410 | Toll Free (800) 324-8160 | Fax (320) 253-5342 | fly@yourtravelmn.com

First Name:		Middle Initial:
Last Name:		Address:
City:		State:
Zip:		E-mail:
Phone # (required):		Fax:
Departure Date (MM/DD/YY):	//	Destination:
Return Date (MM/DD/YY):	//	Type of Trip:

Rental Car:		Hotel Accommodations:
Which Hotel:		How Many Adults:	How Many Children:

			How would you like us to confirm your travel plans?
			E-mail: Phone: Fax:

17th Avenue and Division Street St. Cloud, MN 56301 Phone (320) 253-6410 \| Toll Free (800) 324-8160 \| Fax (320) 253-5342 \| fly@yourtravelmn.com