(Travel Agents - Click Here) Contact Pacific Legends: 1 (800) 200 1213 or Call Your Travel Agent Vacation Information Package Preferred YASAWA ISLAND RESORT & SPA - YAS Departure Date Select Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2010 2011 2012 Names of Passenger(s) Number of Adults Number of Children (under 12 yrs) Honeymoon (Honeymooners may qualify for special discounts and amenities.) Other Special Occasions (Example, 10th Wedding Anniversary) Budget per Person Select: under $1000 $1000 to $2000 $2000 to $3000 $3000 plus Preferences FIJI Number of Nights Additional Comments Please enter in the field below any special requests or interests you have such as specific hotels, room categories, wine tours, canal cruises, etc...   Contact Information Note: The fields marked with a are required. First Name Last Name Street Address and Apt./Suite No. City State or Province Choose Here Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Dc Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ----CANADA---- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Prince Edward Island Quebec Ontario Saskatchewan Yukon Territory Zip Code Country Home Phone ( ) Work Phone ( ) Fax ( ) E-mail (*) Best time to contact Preferred to be contacted by Please select Work Phone Home Phone e-mail Fax Travel Agent Preferred Travel Agency Agent's Name Agent's Phone Number ( ) Agent's E-mail (*)   Check here if you've taken a previous trip with Pacific Legends. How did you hear about Pacific Legends? (*) For your privacy, your email address will not be disclosed to any other party. To learn more about our privacy policy, click here. At Legends, we provide you with all the information you need to make the right vacation decision. Legends - PO Box 6599 - Huntington Beach, CA 92615-6599 E-mail: info@legendsluxurytravel.com See your Travel Professional or call 1 (800) 200 1213

Legends is registered as a California Seller of Travel #1005294-40. Registration as a Seller of Travel does not constitute approval by the State of California.