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 no later than 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_____________________

Register me for Tour Code JFK/GH-103-05  Ghana Tour (July 23 – August 03, 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:________________________________________________________________

Credit Card Payment: I,___________________________ have authorized Intraworld Exch. Corp/Ghana America Vacations to charge my Visa/Mastercard/American Express credit card #_________________________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

Toll Free 1-888-774-4262

E-mail intragav@aol.com