All-Inclusive Registration
To register for the COPA All-Inclusive 2013
Enter required personal information on the online registration form below and submit. An agent with Happy Gecko Travel will contact you for payment information for deposit.
COPA ALL-INCLUSIVE 2013 REGISTRATION FORM
REQUIRED: Each person must complete and submit a separate registration form. Complete the form then submit using the SUBMIT button at the bottom of the form. A passport will be required to travel to and from the Dominican Republic.
Registrant Title: Select Mr. Mrs. Ms. First Name: Middle Name: Last Name: Traveling with (names of those staying in the suite):
Street Address: City: State: Zip: Gender: - M F Country of Citizenship: Cell Phone #: - Other Daytime Phone #: - E-mail Address: Select Preferred Suite Type: 1st Choice: Select One Double Standard Double Superior Suite Jacuzzi Suite 2nd Choice: Select One Double Standard Double Superior Suite Jacuzzi Suite Length of Stay: Select One 4 Nights 5 Nights 6 Nights 7 Nights Transfer Option: Select One Public Coach Private Coach
Insurance: Select One No Yes, I would like a quote List any medical requirements:
Are you a member of a Parrot Head club?: - Yes No Name of Parrot Head Chapter:
Island Name:
Comments:
If you have questions regarding registration please call Happy Gecko Travel at (405) 664-1131 and ask for Dana.
