Samana All-Inclusive Pre-Payment Samana All-Inclusive Pre-Payment Affiliate Key: CC CCSE Last Name: Email: Confirmation Number: Arrival Date: Departure Date: All-Inclusive rate from Confirmation Documentation for Affiliate: All-Inclusive rate from Confirmation Documentation for Guests: Name Guest/Affiliate Adult 12+ Child 3-11 Infant 0-2 Check-in Date Check-out Date No. of nights All-inclusive cost Total Please fix the following errors in the table: Add another person Total: Payment Information Card Holders Full Name Credit Card Number Expiry Date Security Code Billing Address City Zip Code Only affiliates’ credit cards are accepted. Payments can be made via Visa or MasterCard only. The pre-payment will not be refunded. Pre-payment needs to be received at least 7 days prior to the arrival. Please double check all the information before sending, Chairman’s Circle Club is not responsible for any errors. Submit