Instructions: Fill out the form completely (type, tabbing between fields), print, sign and mail it to Toto Tours. Please enclose a personal check for the deposit amount of $500. (Reservations cannot be accepted without your signature on this form.)

Full Passport Name:

Passport #:                 Passport Exp. Date:
 

Home Address

City, State, Zip:

Birth Date:  

Medical or Dietary Considerations:

General Health:

Victoria Falls Extension? No Yes

Home Phone:

Work Phone:

Fax:

E-Mail:

Smoker?   No Yes    Room: Share Private

T-Shirt Size?       Preferred Nickname:
Medium Large X-Large XX-Large      

How did you first hear about Toto Tours?

Airfare? No Yes   From:

Signature:  ___________________________________________________________________________
(Note: My signature on this form affirms that I have read and agreed to Toto Tours' Refund Policy for 2005.)

Contact information:
US only: 800-565-1241 / Int'l: 773-274-8686
Fax: 773-274-8695 / Email: info@tototours.com
Web:  www.tototours.com