Blue Travel, Inc.    -  RESERVATION FORM  -    CanaDream Campers Canada
            Please fax to USA Toll Free: 1-877-605-6888 or
        Australia: +61-2-9475-4888   Germany: +49-69-3809-9888
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CUSTOMER ADDRESS:                                        (please print)
                :  ___ Mr.   ___ Mrs.
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      Last Name:  _____________________________________________________
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     First Name:  _____________________________________________________
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         Street:  _____________________________________________________
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           City:  _____________________________________________________
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     State, ZIP:  _____________________________________________________
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        Country:  _____________________________________________________
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 Tel +Area Code:  _____________________________________________________
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 Fax +Area Code:  _____________________________________________________
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         E-Mail:  _____________________________________________________
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PAYMENT:
      Card Type:  ___ MasterCard   ___ VISA   ___ Diners Club   ___ JCB   
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                  __ American Express + ID ____________________________
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    Valid Until:  ______________
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    Card Holder:  _____________________________________________________
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Full Cardnumber:  _____________________________________________________
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This is a legally binding reservation request and I authorize
Blue Travel to disclose my personal information to CanaDream Inc.
I give permission for CanaDream Inc. to charge my credit card accordingly
with the appropriate hire costs, incl. all items marked below, the
preparation fee and the Canadian federal & provincial sales taxes.
I acknowledge that I am the authorized card holder of this account.
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RESERVATION:
     Vehicle Type:  _____________________   Free Kilometers/Night: _____
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  Pickup Location:  _____________________   Date: ______________________
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Drop off Location:  _____________________   Date: ______________________
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No. of Passengers:  _______                 Convenience Kits :  ________
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 Transfer Request:  ____________________________________________________
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ADDITIONAL COMMENTS:
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City and Date                        Signature