Issuing Company:
(Logo on Envelope)
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Redemption Code:
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Are you an employee of the Issuing company: |
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Expiration Date: |
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| Last Name: |
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| First Name: |
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| Address: |
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| City: |
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State: |
Zip Code:
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| Home Phone: |
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Cell Phone: |
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| E-Mail Address: |
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| E-Mail Again: |
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| It is the policy of Dynamic Rewards to consider this personal information strictly confidential. Therefore it will not be shared with any entities. |
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| Primary Choice: |
City:
State:
Hotel:
Arrival Date:
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| Alternate Choice: |
City:
State:
Hotel:
Arrival Date:
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| Number of Package Nights: |
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| In some requests you will be required to provide your credit card to reserve the reservation. Failure to reserve reservation will be voiding your request. Make sure all fields above are completed entirely. |
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I have read and understand the Dynamic Rewards redemption guidelines on the back of my package (Required)
I have read and agree to the below disclaimer. (Required)
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Disclaimer:
Dynamic Rewards and Issuing Companies are not responsible for any oral or written statements not contained in this package and expressly disclaims all responsibility for loss, damages, injury or delay to property or persons due to any causes, including acts of God, nature, labor strikes, transportation strikes, and terrorism accruing during the usage of this vacation package. By submitting your request online all travelers agree they have read and understand the general information contained in their vacation package and waive any liability claim against Dynamic Rewards LLC for consequential damages. |
