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TOUR REGISTRATION FORM
A non-refundable deposit of $250.00 per person is required to reserve space on the tour. After paying your deposit, you may choose to follow the arranged payment plan or just send in your final payment by the due date.
IMPORTANT NOTICE: Valid Passport is required when traveling outside of the United States. Depending on the countries being visited, entry visas may also be required. We provide complimentary visa service, however visa fees charged by the embassies together with passport size photos must be submitted with your visa applications. YELLOW FEVER INNOCULATION is needed to enter most African countries. Please check with your physician.
OFFER OF TRIP PROTECTION INSURANCE It is my understanding that TRIP PROTECTION INSURANCE is being offered. This coverage will protect me against trip cancellation, loss of luggage, medical emergency etc. Please sign below: Yes, I will purchase the insurance No, I will not purchase the insurance
Signature____________________ Signature_____________________
Please register me for Tour Code JFK/GH-102-05. (GHANA TOUR - June 19 – July 02, 2005). US Departure City: New York Return City: New York
The required non-refundable deposit on $250.00 per person is enclosed. For accurate posting, please write the above-mentioned tour code on all your checks, money orders, or Cashier’s checks tendered for payments. NOTE: 3% surcharge for payments with Visa, Mastercard. 4% surcharge for payments with American Express.
NAME: (As it appears on you passport)_____________________________________________ ADDRESS:____________________________________________________________________ CITY:________________________ STATE: ___________________ ZIP: __________________ TELEPHONE: (Home)___________________(Office)___________________________________ NAME OF ROOMATE:________________________________________ E-MAIL ADDRESS (optional)___________________________________
Credit Card Payment: I,___________________________ have authorized Intraworld Exchange Corp/Ghana America Vacations and/or its affiliates to charge my Visa/Mastercard/American Express #_________________________Expiring _____ in the amount of $________ as payment for myself and or _________________________for the above-mentioned tour. Signature of Card holder_______________________________Date________________________
Please make checks payable to: GHANA AMERICA VACATIONS(Africa Vacations Plus) 1900 L Street NW, Suite 605, Washington DC 20036 Tel:202-862-4959 Fax:202-862-4958 Toll Free 1-888-774-4262 E-mail intragav@aol.com
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