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RESERVATION FORM Costa Rica-Nicaragua / Nov. 17-26, 2006 |
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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.) |
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| Full Passport Name: Passport #: Passport
Exp. Date: Home Address City, State, Zip: Birth Date: Medical or Dietary Considerations: General Health:
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Home Phone: Cell Phone: Work Phone: E-Mail: Smoker? Room: T-Shirt Size? Preferred
Nickname: How did you first hear about Toto Tours?
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Signature: ___________________________________________________________________________ |
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| Make checks payable to: Toto Tours, Ltd. 1326 West Albion Avenue Chicago, IL 60626-4753 |
Contact information: |
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