Name:________________________________________________________________
First Name
Last Name
email address:
_________________________________Tel: ___________________
Work tel:_______________________ ex._________ Fax No:___________________
Address:______________________________________________________________
Apt No / House No
Street
___________________________________________________________
City
Province
Postal Code
Tour Name _____________________ Departure & Return Date:_________________
For Accommodations only: circle one:
smoking room non smoking room
room occupancy, adults
only: circle or underline one only:
1. single
2. double 3. triple 4. quad 5. No of children________
(child age must be between 2 to 13 when sharing with min of 2 paying adults)
list first name and last name for all passengers
in the room, including yourself.
1.__________________________________________________________________
first name
last name
Age
2.__________________________________________________________________
first name
last name
Age
3.__________________________________________________________________
first name
last name
Age
4.__________________________________________________________________
first name
last name
Age
Deposit is required for all tours, payment can be
made by cash or cheque. You can also pay by
master card or visa, there is a 3% service we for all credit card payments.
Credit Card Payment information:
Card Holders Name as it appears on card:__________________________________________________
C.C. Company Name: _____________________ NO: _________________________________________
expiry: _________________ 3 digit security code on the card: ________________.
Upon acceptance
of your confirmation, you agree to the terms and conditions of your
reservations as per the terms and conditions outlined
in the "terms and conditions"
section as listed on this web site. Insurance
information requested: cirlce one: Yes No