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Derik Ramos – Croy Retreat
May 25 @ 11:00 am - May 28 @ 11:00 am
| Name |
| |
Derik Ramos |
| Organization |
| |
HCYR/ BSRC |
| Email |
| |
derik78025@gmail.com |
| Phone |
| |
2109028022 |
|
| Name of Facility Requested |
| |
Croy |
| Number of Nights |
| |
3 |
| Arrival Date |
| |
05/25/2024 |
| Approximate Arrival Time |
| |
11:00 am |
| Departure Date |
| |
05/28/2024 |
| Approximate Departure Time |
| |
11:00 am |
|
| Description of All Cars |
| |
| Color |
Make |
Model |
License Plate # |
| Gray |
Honda |
Odessy |
|
|
| Number of Additional Guests |
| |
2 |
| List of Guests |
| |
| Name of Guest |
Affiliation/Relationship |
| Adelfa Ramos |
Wife |
| Derik Ramos jr |
Som |
|
|
| Terms of Agreement |
| |
- Yes, I agree to the above terms.
|
|
