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Retroactive Reg.
Retroactive Registration Form
ANA ID No.:
  (Please fill in form the left side)
   
Name:
  (Last name) (First name)
Phone:
*Please fill in the blank above for correct registration.
Please attach Hotel issued receipt or Visit Validation Voucher, confirming rate, check-in and check-out date on this sheet. If the receipt does not fit in this sheet please attach the receipt with this sheet.
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