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EFTA00313627
processing. We ask that you either fax this completed form to The Peninsula Spa at e-mail it to Third Party Payment of Services ONLY Guest Name: KAT H y gAEfrok--(Ere Date of Services: C 19a-0 /S Rate Information and Approved Charles Services: Mani (--) e r t n,tt SeetAA R4C(4_ Rate: El Se
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