ADDRESS____________________________________________________________________________________

(STREET, CITY, STATE, ZIP)___________________________________________________________________

PHONE: (HOME)_________________(WORK)_________________e-mail_______________________________

CELL PHONE:________________ CABIN CATEGORY:__________

DEPARTURE CITY/AIRPORT:__________________________________________________________________

SMOKER? YES_____ NO_______ CITIZEN OF (COUNTRY) ____________________________

PASSPORT NO.__________________________________ EXPIRATION DATE__________________

COUNTRY OF ISSUE__________________ PLACE OF BIRTH_________________________________

DATE OF BIRTH______________________DISABILITIES________________________________________

Please check hotel/cruise rooming preferences:
                  [   ] DOUBLE CABIN WITH ________________________________________
             or [   ] DOUBLE CABIN (YOU PICK MY ROOMMATE)
                   [   ] or SINGLE CABIN_________________________

HOW DID YOU HEAR ABOUT US: [ ] SKY MAGAZINE [ ] GOOGLE [ ] YAHOO [ ] FRIEND [ ] OTHER INTERNET [ ] WENT ON A PREVIOUS ROFE TOUR

PAYMENT METHODS:

1) CHECKS:

Make checks payable to:
TRAVEL LEADERS / FUTURE TRAVEL, INC., 1085 HERCULES, HOUSTON, TX 77058 USA
PHONE: (800) 929-9004, PHONE: (281) 480-1988, FAX: (281) 480-2587

2) CREDIT CARDS:

We accept Visa, Mastercard, American Express, Discover Card. To charge by 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: contact our accountant at 281.480.1988, extension 3109. YOU MUST ADD $25.00 TRANSFER FEE CHARGE.