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RESERVATION FORM
CASA PIEDRA
Please print, fill out and either send or fax
Fax Number: 661 296-1053
NAME:
LAST NAME
ADDRESS:
ADDRESS Cont..
CITY:
STATE:
ZIP
PHONE
CELL
E-MAIL
NUMBER IN YOUR PARTY: Adults:
Children:
AIRLINE:
ARRIVAL: Date:
Time:
FLT #:
DEPARTURE: Date:
Time:
FLT #:
Additional Comments
Email:
luvbaja2@aol.com
Home Phone: 661-296-1946
Cell Phone: 661-645-7448