Interfaith Tour of Germany
Hosted by
NAME (1)___________________________________________________________________
(Legal name as appears in your passport) - Please print
NAME(2)____________________________________________________________________
ADDRESS___________________________________________________________________
CITY_______________________________STATE________ZIP__________
MY ROOMMATE’S NAME IS:_________________________________________________
HOME PHONE: __________________________WORK PHONE: ____________________
DATE of BIRTH 1)____________________ 2) DATE of BIRTH____________________
PASSPORT NUMBER 1)_________________________ 2)_________________________
NAME TAG SHOULD READ: ______________________________________________
MY E-MAIL ADDRESS IS: ____________________________________________
· Enclosed is my check/money order for deposit: ($400.00) per person______
(Due on or before September 1,2004)
· I want a single accommodation for an added $360.00 Yes____ No____
· Early Bird reduction of $50.00 if deposit is paid by August 1, 2004) ______
I have previously traveled _____ times with Heavenly Tours.
· ($50.00 will be deducted for each previous tour)
I have read the Tour Conditions & Cancellations policy of the section of the brochure and understand the cancellation policy. I understand that deposits are non-refundable and final payment is due February 1, 2005. I also understand that if I wish to cancel my tour, the Terms and Conditions as stated in brochure will apply and be enforced. I am aware that I am responsible for adequate personal and medical insurance. (Please note that Heavenly Tours will be unable to proceed with your reservation without your signature on this form.)
SIGNED: _________________________________________ DATE_________________
Make check payable to: Heavenly International Tours
Mail this form with your deposit to:
HEAVENLY INTERNATIONAL TOURS
(414) 352-6522 or (800) 322-8622