Reservation Form

To book space on tours, a deposit of US $ 350.00 per person is required. Please print one form for each person. Return the completed form(s) with deposit to our office. :
Exotic Journeys Group, 233 E. Erie Street, Suite 704, Chicago, IL 60611.
You may also fax the form/s.to : Fax No. : 312 - 475 - 0657. Click here to print form

*Required fields need to be filled.

Name of Tour *
Reservation / Invoice #
Departure Date *
From *
Arrival Date *
In *
Return Date *
From *
Full Name: *
Full Name *
Profession *
Profession *
Address
Address
City State
City State
Zip*
Home Phone
 Fax 
Zip*
       Home Phone
 Fax
 
Office Phone
 Fax
Office Phone Fax          
E-mail Address *
E-mail Address *
Emergency Contact   No.
Emergency
Contact No.
Nationality *
Nationality *
Passport No. *
Passport No. *
Date of Issue *
Date of Issue *
Date of Expiration *
Date of Expiration *
Date of Birth
Date of Birth
 
Place of Issue *
Place of Issue *

Important Passenger and Travel Agent Information: Itineraries, land prices, accommodation and airfares are subject to change due to circumstances beyond our control. Reservations are accepted with your clear understanding of our responsibilities and conditions as outlined in Terms and Conditions / brochure.
Deposits for tours to Tibet, Myanmar, Bhutan, Wildlife Parks, Palace On Wheels, Royal Orient, Trekking, river rafting, adventure programs and FIT arrangements are nonrefundable.
I/we have read and understand the terms and conditions and through making the deposit in accordance therewith agree to be bound by them thereof.
Form of Payment Check  Amount US$
C.C. (Visa, MC, AmEx etc.)  Date of Expiry
Name on C.C.  Security Number (See back of card)
C.C. Billing Address
 City
State
Zip*
Travel Agency    
Address
 City 
State 
Zip*
E-Mail ID
ARC / IATAN / CLIA No.
Phone
  Fax

Please provide credit card billing address. It must match the address on your bills.
We accept American Express , Discover, Visa and Master Card
If payments are being authorized by credit card, please also complete the CC Autorization Form

Published prices reflect cash discount if paid by check. Initial deposits are accepted by any major credit card without bank processing fee.Final payment is requested by check. Final payment by credit card will require non-refundable bank-processing fee.

For India tour packages, visit www.exoticjourneys.com

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