"Ring of Fire" Registration Form

"RING OF FIRE EXPEDITIONS 2009 TOTAL" REGISTRATION FORM

PLEASE PRINT CLEARLY!!!
NAME(S) AS THEY APPEAR ON PASSPORT(S)________________________________________________________
ADDRESS____________________________________________________________________________________
(STREET, CITY, STATE, ZIP)___________________________________________________________________
PHONE: (HOME)_________________(WORK)_________________e-mail_______________________________
(CELL)_________________________ DEPARTURE CITY/AIRPORT:___________________________________________

SMOKER? YES_____ NO_______ CITIZEN OF (COUNTRY) ____________________________
PASSPORT NO.__________________________________ ISSUE DATE__________________
EXPIRY DATE________________ PLACE OF ISSUE__________________ PLACE OF BIRTH______________________________
DATE OF BIRTH______________________DISABILITIES________________________________________
Please check cruise/hotel rooming preferences:
[ ] DOUBLE ROOM WITH ________________________________________
or [ ] DOUBLE ROOM (YOU PICK MY ROOMMATE)

PAYMENT METHODS:
1) CHECKS PAYABLE TO:
CARLSON WAGONLIT FUTURE TRAVEL, INC., 1085 HERCULES, HOUSTON, TX 77058 USA
PHONE: (800) 929-9004, PHONE: (281) 480-1988, FAX: (281) 480-2587
2) CREDIT CARDS: Prices are cash discount; add 3% for credit card.
Complete online credit card authorization form to be printed, completed, and faxed to Future Travel.
3) IF OUTSIDE THE USA pay by any of the following: a) A CHECK MADE OUT THROUGH A US BANK; b) MONEY ORDER; OR c) wire transfer to FROST BANK , WEBSTER, TEXAS USA SPECIFYING ACCOUNT #320047182, ROUTING #114000093. YOU MUST ADD $20.00 TRANSFER FEE CHARGE.
DETERMINE HOW MUCH TO PAY (SEE ITINERARY FOR DETAILS):
1. $500. initial deposit per person with registration form
2. Additional payments per itinerary info
3. See itinerary for deposit schedule/cancellation fees
4. ENCLOSED IS PAYMENT OF $______________ X _____ PERSONS = $_______________

I HAVE READ, UNDERSTOOD AND AGREE TO BE BOUND BY THE TOUR TERMS AND CONDITIONS. I HAVE BEEN ADVISED OF THE PENALTIES AND SPECIAL CONDITIONS OF THIS ITINERARY. I HAVE BEEN OFFERED A POLICY WITH INSURANCE COVERAGE INCLUDING A PENALTY WAIVER, TRIP CANCELLATION/INTERRUPTION, AND SUPPLIER DEFAULT, BANKRUPTCY, ACCIDENT, MEDICAL AND BAGGAGE DELAY.
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SIGNATURE OF TOUR PARTICIPANT(S)