Reservation Form

233 E. Erie Street, Chicago, IL 60611.
Phone : 312-475-0655 Fax : 312 - 475 - 0657. Reservation : 800-554-6342
E-mail : info@exoticjourneys.com Website : www..exoticjourneys.com
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Name of Tour *  
Reservation / Invoice #
 
Departure Date *  
From *
  
Arrival Date *  
In *
  
Return Date *  
From *
  
Full Name: *  
Full Name *
  
Profession *  
Profession *
  
Address  
Address
  
City   City  
State   Zip*   State   Zip*  
Home Phone   Fax   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.
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  
 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.
Signature                                                                 
†† The credit card billing address must match the address on your bills.
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.