NAME ___________________________________________________________________________

(Legal name as appears in your passport) Please print

ADDRESS_____________________________________________________________________

CITY_______________________________STATE________ ZIP_________________________

PASSPORT NUMBER:___________________________D.O.B:__________________________

If you do not have a Passport yet please state Pending

MY ROOMMATE’S NAME IS:____________________________________________________

MALE:___ FEMALE:___

HOME PHONE:_______________WORK PHONE:____________ CELL:__________________

MY NAME TAG SHOULD READ__________________________________________________

I WOULD LIKE TO HAVE AN ADD-ON FLIGHT TO MIAMI____________________________

(Add-on flights to Miami are not included in the price of the tour)

I WOULD LIKE TO TAKE THAT AMAZON OPTIONAL EXTENSION YES:_____ NO:______

Enclosed is my non-refundable deposit of: ($400.00) per person ________ No. of persons_______

(Due on or before October 1, 2004)

I want a single accommodation for additional $345.00: Yes___ No___

All payments by check or money order only.

I have read the Tour Conditions (listed below) and understand the cancellation policy. I understand that initial deposit of $400.00 per person is non-refundable. Final payment is due April 15, 2005. Cancellations after April 15, 2005 become nonrefundable and can only be recovered through travel insurance. I also understand that I am responsible for adequate personal and medical insurance. I wish to confirm that I received a travel insurance pamphlet. (Please note that Heavenly Tours will be unable to proceed with your reservation without your deposit and signature on this form.)

SIGNED:_____________________________________________________

Make checks payable to: HEAVENLY INTERNATIONAL TOURS

Print this form and mail or fax to:

Heavenly International Tours
3900 W. Brown Deer Road
Suite A-134
Milwaukee, WI 53209
(800) 322-8622
Fax (414) 352-3952

TERMS & CONDITIONS - PLEASE READ CAREFULLY

RESERVATIONS & SCHEDULE of PAYMENTS: All reservations for this tour are confirmed upon receipt of your registration form and a non-refundable deposit of $400.00 per person, which is due October 1, 2004. Final payment is due April 15, 2005.

HOTEL ACCOMMODATIONS & SITES: All hotel accommodations are based on double occupancy with private bath. NOTE: We will attempt to find a roommate for single travelers desiring to share a room. If, however, we are unable to find a roommate, or you do not accept our selection, the single room supplement will apply. The sequence of visits to sites may change according to the discretion of the tour operator and guides if they deem necessary. In case sequence is changed, all items on the itinerary will still be covered.

CANCELLATIONS & REFUNDS: Cancellations made after October 1, 2004 are non-refundable. Final payment is fully refundable, (excluding the non-refundable deposit of $ 400.00 per person), until April 15, 2005. Cancellations after April 15, 2005 become non-refundable and can only be recovered through a travel insurance policy. All cancellations must be made in writing to Heavenly Tours. Travel insurance is highly recommended.

UNUSED SERVICES: No refunds will be made for unused touring, meals or any other program components stated in the itinerary.

PASSPORT, VISA & VACCINATIONS: Valid passport is required. Currently a visa to enter Brazil is required by U.S. Citizens. We will advise you if the visa requirements are waived for delegates to the 3rd IAS Conference. The Web site of the Brazilian Embassy in the U.S. is http//www.brasilemb.org

FEES NOT INCLUDED: Passport Fees, Travel Insurance, meals, drinks, wines, liquors and beverages not mentioned in itinerary, items of personal nature; telephone, laundry and sites other than those mentioned. Tips to guides, drivers and hotel staff is not included. U.S. and Brazil Departure Taxes are not included and will be invoiced to you.

TRAVEL INSURANCE: Travel Insurance is optional; however, we highly suggest and recommend the purchase of insurance. It is suggested that the insurance premium be paid directly to the insurance company at the time of your initial deposit in order to cover the “pre-existing conditions clause” of the insurance.

TAXES & FEES INCLUDED: Entrance fees to all sites on scheduled tours. Porterage of one suitcase is included.

AIR & LAND FARES: Air and land rates of this tour are based on current tariffs in effect for today, August 24, 2004. Rates are based on a group of 20 paying passengers. Flight tickets for this tour are based on NONREFUNDABLE airfare.

PURCHASE OF MERCHANDISE: Heavenly International Tours is not to be held responsible for any items purchased during the tour, not for their quality nor their prices. All and any purchase will be the sole responsibility of the buyer.

METHOD OF PAYMENTS: Check or money order only, made payable to Heavenly International Tours.

LUGGAGE: Each person is allowed (1) suitcase only, which will be handled for you throughout the tour. Maximum size is 62” high and maximum weight is 70 pounds.

TOUR DATES: As in any Trans-Atlantic flight, tour dates may slightly change according to the requirements of participating air carrier. Please allow some flexibility. In the event dates and times of flights are changed, Heavenly Tours will not be held responsible and refunds will not be available based on this reason.