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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

Home Phone: 661-296-1946
Cell Phone: 661-645-7448