Escape To Cuba Registration
Book your dream Salsa vacation and prepare yourself for the experience of a lifetime
   

Step 1 of 2 - Registration Form
Please complete and submit the form below and ensure that the information you enter is correct
Fields in green are required information
   
Referral Code:  
Title:  
First Name:
(As shown on passport)		  
Last Name:
(As shown on passport)		  
Home Address:  
City & Province:  
Postal Code:  
Phone Number & Type:  
E-mail:  
Desired Tour Package:   2-Week Tour - all 3 cities
1st Week Tour - Havana only
2nd Week Tour - Varadero only
Date Of Birth:
(Optional for insurance purposes) 		 
Passport Number
(if not available provide later)		  
Preferred Room Mate:
(if known)		  

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Salsa Vacations - Hotel Gran Caribe Riviera in Havana, Cuba
 
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Two-Week Tour Pricing
1st Week Tour Pricing
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Payment Schedule
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Two-Week Itinerary
1st Week Itinerary - Havana only
2nd Week Itinerary - Varadero only
Hotel Accommodation
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