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2012 Clark Hot Air Balloon Festival Special Dinner Service at Clark Wine Center Reservation Form

Ticket Order Form

Please fill out this form accurately and click on the submit button below.Β  You will be contacted through your contact details for confirmation.Β  Ticket price is php650 for adults and php250 for children 12 and under.Β 

**IMPORTANT: The meal tickets are valid only on the date specified.Β  Absolutely no refund will be given for cancellation of change of date.

Children will be served a special prepared child’s meal.

Dagon Design

*Date You Wish to Book Your Excursion to the Balloon Festival (questions? Click here)   (select) 11 Feb 2012 12 Feb 2012
Personal Information
* Name (why do we need your name?)
* Salutation	(select) Mr. Mrs. Ms.
* Last Name
* First Name
* Other Name
* Email Address
* Mobile Number
* Fax Number
* Land Line Number
Ticket Information
* Number of tickets Adult (select) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Children (select) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
* Mode of Payment (more info) Paypal Bank Deposit
* Verify

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