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RESERVATION FORM Nepal / November 3 - 17, 2007 |
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Instructions: Fill out the form completely (type, tabbing between fields), print, sign and mail it to Toto Tours. Be sure to make the appropriate selection for drop-down boxes within the form. Please enclose a personal check for the deposit amount of $500. You have the option to charge your deposit on a Visa or MasterCard account. Please provide all the requested information below. (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: If paying by Visa or Mastercard: Card Type:_____________________________ Acct. #:_______________________________ Exp. Date:_____________________________ |
Contact information: Travel Insurance:
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