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PAY BY CHECK FORM

Travelegia.com Membership: Pay By Check Form 

 

Please fill out following form, print it and attach to the payment.

Please make your check payable to Travelegia, Ltd.

 

Travelegia, Ltd.

2700 Q st, NW # 303

Washington, DC 20007  

Hotel  Name:

Check Number:

Amount:

Membership Level:

Your name:

Hotel Address:

Hotel City:

Hotel State:

Zip Code:

Hotel Website

E-mail Address

Hotel Phone Number:

NOTE:

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