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 $600 (safari only) or $900 (safari + Madagascar). You have the option to charge a maximum of $600 of 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.)

Full Passport Name:

Passport #:                     Passport Exp. Date:
 

Home Address

City, State, Zip:

Birth Date:  

Medical or Dietary Considerations:

General Health:

Post Tour to Madagascar?   Yes No

Madagascar Flight Purchase?   Self Toto

Home Phone:

Cell Phone:

Work Phone:

E-Mail:

Smoker?   No Yes    Room: Share Private

Preferred Nickname:

How did you first hear about Toto Tours?

Optional Hot Air Balloon?   Yes No

Madagascar Flight Class?   Economy Business

Signature:  ___________________________________________________________________________
(Note: My signature on this form affirms that I have read and agreed to Special Refund Policy for Kenya/Madagascar 2012.)

Make checks payable to:
Toto Tours, Ltd.
1326 West Albion Avenue
Chicago, IL  60626-4753

$600 maximum by Visa / Mastercard:

Card Type: _______  Security Code: ________

Acct. #:_______________________________

Exp. Date:_____________________________

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

Travel Insurance:
I acknowledge that Toto Tours has offered insurance to protect me in the event that I must cancel my participation in the tour before departure, or become ill while the tour is in progress. Please choose one:

I want to purchase insurance. Please contact me! I decline your offer to purchase travel insurance. I am undecided. Please contact me to discuss my options.