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 May 31, 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 BWI/GH/TG/BN-102-04 Ghana/Togo/Benin (July 18 Aug. 01,
2004).
US
Departure City: Baltimore Return
City: 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 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