GUEST 1
Name must match legal documentation (Driver's License, Passport, Birth Certificat,etc). You will
not be allowed to board unless your name matches exactly. For example: If Robert Smith is printed on your Passport, DO NOT enter "Bob Smith"
Last Name (as it appears on your Passport)
Referred by Whom
Date of Birth
Email
Mobile Phone Number
Emergency Contact Number
Address Line 1
Address Line 2
City, State, Zipcode
How did you hear about this Vegas Vacation & Party Package?
Hotel Choice (Planet Hollywood -or- Tuscany)
Hotel Accomodations (Single, Double, Triple, Quad)
Number of Nights (3 Nights or 4 Nights)
Entertainment Choice (General -or- VIP)
Name on Credit Card (exactly as it appears)
Type of Card (Visa, MC, AMEX, Diners)
Credit Card Number
Credit Card Expiration (Month and Year)
Security Code (on back of card)
Pay in full? (Specify if you want to charge the FULL AMOUNT NOW. $50 Discount applies.)
List any Medical Needs (wheelchair accessibility, pregnancy, medication, etc)
Special Requests (handicap access, excursions, room upgrades, etc)
Comments
Other Vacation Destinations you're interested in?
GUEST 2 Name must match legal documentation (Driver's License, Passport, Birth Certificat,etc). You will
not be allowed to board unless your name matches exactly. For example: If Robert Smith is printed on your Passport, DO NOT enter "Bob Smith"
Last Name (as it appears on your Passport)
Date of Birth
Email
Mobile Phone Number
Emergency Contact Number
Same Address as Above
Address Line 1
Address Line 2
City, State, Zipcode
How did you hear about this Vegas Vacation & Party Package?
Hotel Choice (Planet Hollywood -or- Tuscany)
Hotel Accomodations (Single, Double, Triple, Quad)
Number of Nights (3 Nights or 4 Nights)
Entertainment Choice (General -or- VIP)
Same Credit Card as Above
Name on Credit Card (exactly as it appears)
Type of Card (Visa, MC, AMEX, Diners)
Credit Card Number
Credit Card Expiration (Month and Year)
Security Code (on back of card)
Pay in full? (Specify if you want to charge the FULL AMOUNT NOW. $50 Discount applies.)
List any Medical Needs (wheelchair accessibility, pregnancy, medication, etc)
Special Requests (handicap access, excursions, room upgrades, etc)
Commments
By clicking on the 'Submit' button, you agree to the following:
* Monthly payments will be drafted from my Credit Card in the amount of $100.
After clicking the 'Submit' button, please allow
for a few seconds for the profile to be sent to our email address. (1) If you do not receive a screen confirming your form was accepted -or- (2) If you do not receive
an email confirming the content you typed in, please email us immediately at "vegassoulfest@yahoo.com". In either of these cases, its likely we did not receive your reservation request.
I certify that I have read all terms & agreements on the website. I have reviewed the payment amounts and the schedule and will comply with the payment arrangements posted.
I agree to the terms aforementioned and agree to Vegas Soulfest processing my credit card
per the payment schedule. Furthermore, I approve Vegas Soulfest to process my non-refundable security deposit TODAY.
