|
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
at least 45 days before departure 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 WAS/GH-TG-BN/101-05. (GHANA-TOGO-BENIN)
Oct. 09 – 22, 2005). US Departure/Return City:
Washington/Baltimore
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
1900 L
Street NW, Suite 605, Washington DC 20036
Tel:202-862-4959 Fax:202-862-4958
|
