Personal Information: First Name: Last Name: Address: Address 2: City: Province/State:
Zip Code: Home Telephone: Work Telephone: E-Mail Address: Destination Information: Type of Tour: Departure City: Departure Date: January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001 2002 2003 Number of: Adults 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 Children: 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 Rooms: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 Additional Information/Special Requests: Please contact me by: Select One E-Mail Telephone Send me a brochure: Yes No Additional Requests: