RESERVATION FORM First name: Last name: Middle name: City Address: Contact No.: Provincial Address: ---------- Abra Agusan del Norte Agusan del Sur Aklan Albay Antique Apayao Aurora Baguio Bataan Batanes Batangas Basilan Biliran Bohol Bulacan Butuan Cagayan Cagayan de Oro Calamba Calapan Camarines Norte Camarines Sur Camiguin Capiz Catanduanes Cavite Cebu Compostela Valley Cotabato Davao Davao del Norte Davao del Sur Davao Oriental Dinagat Islands Eastern Samar Guimaras Ilocos Norte Ilocos Sur Iloilo Isabela Koronadal Laguna Lanao del Norte Lanao del Sur La Union Legazpi Leyte Maguindanao Manila Marinduque Masbate Misamis Occidental Misamis Oriental North Cotabato Northern Samar Nueva Ecija Nueva Viscaya Occidental Mindoro Orriental Mindoro Pagadian City Palawan Pampanga Pangasinan Quezon Quirino Rizal Romblon Samar San Fernando Sarangani Shariff Kabunsuan Siquijor Sorsogon South Cotabato Southern Leyte Sultan Kudarat Sulu Surigao del Norte Surigao del Sur Tacloban City Tarlac Tawi-Tawi Tuguegarao Zambales Zamboanga del Norte Zamboanga del Sur Zamboanga Sibugay Contact No.: Date of birth: Month Jabuary February March April May June July August September October November December Day 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 Year 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 E-Mail: Height: Weight: Sex:Male Female Transgender Religion: ---------- Baptist Born-Again Iglesia Ni Cristo Jehova's Witness Protestant Roman Catholic Marital Status: ---------- Divorced Living Common Law Married Separated Single Widowed Citizenship: Languages Spoken: English Korean Japanese Tagalog Others: Mode of Payment: Date: Destination/s you want: When: s Comment/s: