2003 ANCIENT CHINA WISDOM TOUR

REGISTRATION FORM

Register ASAP to secure airline seating!

PLEASE   P - R - I - N - T

Registration Information for Roommate #1 of 2

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 #2 of 22 of 2

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.

"The footfalls of seekers bless and caress this ancient land, where we see every pilgrim as a native son or daughter, swimming with us in I Ching's water."

 


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