RESERVATION APPLICATION for Marian Travel Service
Please review our TERMS & CONDITIONS and TRAVEL INSURANCE.
You may also print this form, complete it and mail.
= Required Fields
Reservation Information
First Name
Birth date
Address*
* not a PO Box
City
State
Zip Code
Home Phone
Work Phone
Fax
E-Mail
Departure City
Choose Departure City Albany, NY - ALB $150 Albuquerque, NM - ABQ $360 Allentown, PA - ABE $180 Anchorage, AK - ANC $600 Appleton, WI - ATW $250 Arcata, CA - ACV $380 Asheville, NC - AVL $200 Aspen, CO - ASE $360 Athens, GA - ATH $200 Atlanta, CA - ATL $190 Augusta, GA - AGS $200 Augusta, ME - AUG $150 Austin, TX - AUS $280 Bakersfield, CA - BFL $380 Baltimore, MD - BWI $180 Bangor, ME - BGR $150 Bar Harbor, ME - BHB $150 Billings, MT - BIL $380 Bingamton, NY - BGM $150 Birmingham, AL - BHM $200 Bismark, ND - BIS $360 Bloomington, IL - BMI $250 Boise, ID - BOI $380 Boston, MA - BOS $20 Bozeman, MT - BZN $380 Buffalo, NY - BUF $150 Burbank, CA - BUR $380 Burlington, VT - BTV $150 Canton Akron, OH - CAK $200 Carlsbad, CA - CLD $380 Casper, WY - CPR $360 Cedar Rapids - CID $250 Charleston ,WV - CRW $200 Charleston, SC - CHS $200 Charlotte, NC - CLT $200 Charlottesville, VA - CHO $180 Chatanooga, TN - CHA $ 200 Chicago, IL - ORD $100 Chico, CA - CIC $380 Cincinatti, OH - CVG $200 Cleveland, OH - CLE $200 Cody, WY - COD $360 Colorado Springs, CO - COS $360 Columbia, SC - CAE $200 Columbus, OH - CMH $200 Cresent City, CA - CEC $380 Dallas, TX - DFW $170 Dayton, OH - DAY $200 Denver, CO - DEN $250 Des Moines, IA - DSM $250 Detriot, MI - DTT $200 Durango, CO - DRO $360 El Centro, CA - IPL $380 El Paso, TX - ELP $280 Elmira, NY - ELM $150 Eugene, OR - EUG $380 Fairbanks, AK - FAI $550 Fargo, ND - FAR $360 Fayetteville, AR - XNA $250 Fayetteville, NC - FAY $200 Florence, SC - FLO$200 Fort Lauderdale, FL - FLL $250 Fort Myers, FL - FMY $250 Fort Wayne, IN - FWA $250 Fresno, CA - FAT $380 Gainesville, FL - GNV $250 Grand Junction, CO - GJT $360 Grand Rapids, MI - GRR $200 Green Bay, WI - GRB $250 Greensboro, NC - GSO $200 Greenville, NC - PGV $200 Greenville, SC - GSP $200 Gunnuson, CO - GUC $360 Harrisburg, PA - HAR $180 Hartford, CT - BDL $150 Haydon, CO - HDN $360 Hilton Head, SC - HHH $200 Honolulu, HI - HNL $750 Houston, TX - IAH $180 Huntington, WV - HTS $200 Huntsville, AL - HSV$250 Indianapolis, IN - IND $250 Inyokern, CA - IYK $380 Islip, NY - ISP $150 Ithica, NY - ITH $150 Jackson, MS - JAN $250 Jackson, WY - JAC $360 Jacksonville, FL - JAX $250 Jacksonville, NC - OAJ $200 Kahului, HI - OGG $750 Kalamazoo, MI - AZO $200 Kansas City, MO - MKC $250 Kauai Island, HI - LIH $750 Knoxville, TN - TYS $200 Kona, HI - KOA $750 Lansing, MI - LAN $250 Las Vegas, NV - LAS $380 Lewisburg, WV - LWB $200 Lexington, KY - LEX $200 Lincoln, NE - LNK $280 Little Rock, AR - LIT $250 Los Angeles, CA - LAX $300 Louisville, KY - SDF $200 Lynchburg, VA - LYH $180 Madison, WI - MSN $250 Manchester, NH - MHT $150 Medford, OR - MFR $380 Memphis, TN - MEM $200 Miami, FL - MIA $100 Milwaukee, WI - MKE $250 Minneapolis, MN - MSP $250 Missoula, MT - MSO $360 Mobile, AL - MOB $250 Modesto, CA - MOD $380 Moline, IL - MLI $250 Monteray, CA - MRY $380 Montgomery, AL - MGM $250 Montrose, CO - MTJ $360 Myrtle Beach, SC - MYR $200 Nashville, TN - BNA $200 New Bern, NC - EWN $200 New Haven, CT - HVN $150 New Orleans, LA - MSY $250 New York, NY - JFK $0 Newark, NJ - EWR $0 Newport News, VA - PHF $150 Norfolk, VA - ORF $180 Oakland, CA - OAK $380 Oklahoma City, OK - OKC $280 Omaha, NE - OMA $280 Ontario, CA - ONT $380 Orlando, FL - ORL $250 Oxnord, CA - OXR $380 Palm Springs, CA - PSP $380 Pasco, WA - PSC $380 Pensacola, FL - PNS $250 Peoria, IL - PIA $250 Philidelphia, PA - PHL $60 Phoenix, AZ - PHX $250 Pittsburgh, PA - PIT $180 Portland, ME - PWM $150 Portland, OR - PDZ $330 Poughkeepsie, NY - SWF $150 Presque Isle, ME - PQI $150 Providence, RI - PVD $150 Quincy, IL - UIN $250 Raleigh - Durham, NC - RDU $200 Rapid City, SD - RAP $360 Redding, CA - RDD $380 Redmond, OR - RDM $380 Reno, NE - RNO $380 Richmond, VA - RIC $180 Roanoke, VA - ROA $180 Rochester, NY - ROC $150 Rockford, IL - RFD $250 Rockland, ME - RKD $150 Sacramento, CA - SMF $380 Saginaw, MI - MBS $200 Saint George,UT - SGU $380 Saint Thomas, VI - STT $600 Salisbury, MD - SBY $150 Salt Lake City, UT - SLC $360 San Antonio, TX - SAT $280 San Diego, CA - SAN $380 San Francisco, CA - SFO $330 San Jose, CA - SJC $380 San Juan, PR - SJU $600 San Luis Obispo, CA - SBP $380 Santa Ana, CA - SNA $380 Santa Barbara, CA - SBA $380 Santa Maria, CA - SMX $380 Santa Rosa, CA - STS $380 Sarasota, FL - SRQ $250 Savannah, GA - SAV $200 Scranton, PA - AVP $150 Seatle, WA - SEA $300 Sioux Falls, SC - FSD $360 Southbend, IN - SBN $250 Spokane, WA - GEG $380 Springfield ,MO - SGF $250 Springfield, IL - SPI $250 St. Louis, MO - STL $250 State College - SCE $180 Syracuse, NY - SYR $150 Tallahasse, FL - TLH $220 Tampa, FL - TPA $250 Telluride - TEX $360 Traverse City, MI - TVC $250 Tri Cities, TN - TRI $200 Tulsa, OK - TUL $280 Tuscon, AZ - TUS $380 Vail Eagle, CO - EGE $360 Visalia, CA - VIS $380 Washington, DC - IAD $100 Wausau, WI - CWA $250 West Palm Beach, FL - PBI $250 Westchester, NY - HPN $150 Wichita, KS - ICT $280 Williamsport, PA - IPT $150 Wilmington, NC - ILM $200 Yuma, AZ - YUM $380
Yes (additional $129)
* pre-existing conditions Only * covered if purchased with initial deposit)
Special Request
:::: Additional Comments or Information :::::
I wish to make a direct credit card payment (Only * possible if more than 60 days prior to departure)
Name on Credit Card
Type of Card Visa Master Card American Express Discover
Card Number Exp. Date
Amount to be charged
Charge the $400 per person deposit now
Charge the $400 per person deposit & $129 insurance now
Charge $400 per person deposit now & the balance due 70 days prior to departure
Charge $529 per person deposit and insurance now & the balance due 70 days prior to departure
Charge total trip costs
I wish to make my payment via Check or Money Order. I will send my payment by mail.
Marian Travel Service
# of people: x $400 Deposit/Payment in Full* = $
*(Full payment due if booking made within 60 days of departure)
Initial Here to Agree to all Terms and Conditions for this trip
If you have any questions please contact Phone: (623) 546-8668 or e-mail mirarizona@att.net
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