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 August 22, 2004.
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.
Please
print the registration form and fill out to reserve your space.
Please
register me for Tour Code IAD-EWR/ADD-106-04. Ethiopia
Tour (September 20 27, 2004).
US
Departure City: Washington/Newark Return
City: Newark/Washington
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 Cashiers 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:
1900 L Street NW, Suite
605,
Washington DC 20036
Tel:202-862-4959 Fax:202-862-4958
Toll Free 1-888-774-4262