Name that appears on the passport of roommate #1:
Last_______________________________ First_____________________________
Address:_____________________________________________________________
City:________________________ State:_________
Zip:______________________
Date of Birth__/__/__ Telephone___________________
Fax_________________
Male____ Female____ Email
__________________________________________
Home City/Airport___________________________
Occupation____________________________
Nationality____________________
Passport No:________________________ Exp. Date________________
Northwest Frequent Flyer Mileage Member #________________________
Air China Frequent Flyer Mileage Member #________________________
Korean Air Frequent Flyer Mileage Member #________________________
Delta Frequent Flyer Mileage Member#_____________________________

Registration
Information for Roommate #
Name that appears on the passport of roommate #2:
Last_______________________________ First_____________________________
Address:_____________________________________________________________
City:________________________ State:_________
Zip:______________________
Date of Birth__/__/__ Telephone___________________
Fax_________________
Male____ Female____ Email
__________________________________________
Home City/Airport___________________________
Occupation____________________________
Nationality____________________
Passport No:________________________ Exp. Date________________
Northwest Frequent Flyer Mileage Member #________________________
Air China Frequent Flyer Mileage Member #________________________
Korean Air Frequent Flyer Mileage Member #________________________
Delta Frequent Flyer Mileage Member#_____________________________

Enclosed is my deposit of $________ ($200 per person) for _______
persons.
Tour price does not include taxes, tips, ($115) roundtrip domestic air to
gateway.
I will pay $300 for single room supplement___. $50 max. cancellation
penalty thru 2/02.
Help me find a roommate___.
Final payment due at least 60 days before departure.
Tour price is for money order or check. I am
enclosing ____ money order or ____ check.
NOTE: There will be a 4% surcharge if you pay by
credit card.
Please charge my
___ VISA ___ MASTER CARD ___ AMEX ___
DISCOVER
with $200 per person for ___ person(s).
Total deposit is $_____
Credit Card Number_______________________________
Expires______/______
Print name on Credit Card_______________________________
Credit Card Customer Signature_______________________________
Group code: #09060ARRJ

Questions? From the U.S., call Regent China
Tours at (800) 896-1916, U.S. Eastern Time, 9 AM-5 PM. From
outside the U.S., call (813) 907-5638.
You may also contact Rev.
Rainbow: send email to Rainbow@RevRainbow.ORG, call
(512) 478-4944 outside the U.S., call (800) 272-5413 in the U.S. outside
of Austin, or call 478-4944 in Austin.

MAKE CHECK PAYABLE TO REGENT CHINA TOURS (RESERVATIONS) and mail
it with this Registration Form to 8911 Regents Park Dr., Suite 540,
Tampa, FL 33647.