TOUR 2008 REGISTRATION FORM

Name ___________________________________________________________________________________

O Male   /   O Female

Address _________________________________________________________________________________

________________________________________________________________________________________

Phone ___________________________________________________________________________________

E Mail___________________________________________________________________________________

Name as you wish it to appear on badge ________________________________________________________

Prefered Departure City _____________________________________________________________________

Smoking ?   yes O     no O

Special Diet ?______________________________________________________________________________

Total enclosed: $ __________                          Balance due: $ ____________

Please note: If you are registering as a single, you will be assigned a double room with another single of the same sex. Single supplement is also available if you prefer private accommodations for an additional charge of $375

If you prefer a roommate Please give name. ______________________________________________________

Do you want your name and telephone number appear on tour roster ?   Yes O     No O

 

Make check or money order in U.S. dollars payable to: Ahmet Luleci,

and Mail To: 16 Braeland Ave. Newton Centre, MA 02459