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Complete and submit this short form to receive an estimated cost of your flight to the SIAL PARIS 17-21 Oct. 2010 

 Airport of departure:     Airport you will fly back to (if different from departure) :

 Coach   or Business class

 Number of persons:

 Date of departure MM/DD Return MM/DD   Number of nights in France

 Travelers names (as spelled in passport - IMPORTANT)

 #1 First Last

 #2 First Last

 #3 First Last

 #4 First Last

 Email address (to receive your quote): Telephone (optional)

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