Name of Traveler 1 *

First Name

Last Name

Phone *

(###)

###

####

Are you a US Citizen? *

Yes

No

Were you born in Cuba? *

Yes

No

Name of Traveler 2

First Name

Last Name

Phone

(###)

###

####

Are they a US Citizen?

Yes

No

Were they born in Cuba?

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will you be staying in Single or Double Rooms? *

$3900 / Person - Double Room

$4250 / Person - Single Rooms

Bed Configuration

If you've selected a double room would you like to a single king bed or two doubles?

1 King Bed

2 Double Beds