VacationPedia^™ Rebate Application Form

Name:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
Cell:
E-mail:
Price of Vacation:	(excluding fees and taxes)
Travel Dates:
Travel Destination:
Funjet Vacations® Confirmation No.:
PediaCard™ Number:
(One PediaCard™ number required per 4 travelers.) Don't have a PediaCard™ yet? Click here to order one - several card versions available. (Place the word "pending" in the line above for PediaCard™ number.) Want to suggest an educational or non-profit organization for us to contact about setting up a PediaCard™ Program to help financially support them; please place their name, city, and state in the "Special Instructions" section below. Want to donate a portion of your rebate to an educational or non-profit organization in your name; please enter the name, city, and state of that school or organization information in the "Special Instructions" section below as well. Your documents for travel will be sent no later than 10 days prior to your date of travel. Your VacationPedia™ Rebate for travel on Funjet Vacations® will be mailed within 2-3 weeks of your completion of travel.
Special Instructions: