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FEBRUARY 28th ~ MARCH 1st, 2010
worldwide
WORLDWIDE MOTOR TOURS & TRAVEL
FEBRUARY 28th ~ MARCH 1st, 2010 REGISTRATION FORM: GENERAL CONDITIONS: An initial deposit of $50.oo per person is due with your application for reservation by: Soon As Possible . All final payments are due no later than January 14th, 2009 . SORRY..... NO REFUNDS..... Transfers ONLY. Full payments are accepted at any time prior to the due date. Add-on(s) will be accepted based on space permitting. SPACE IS LIMITED!! No space is guaranteed without the required deposits. Only tour paying passengers will be allowed. Name:_____________________________________________________________________________________ Address:___________________________________________________________________________________ City:_____________________________________ State:____________________ Zip:_________________ Day Phone:___________________ Evening Phone:____________________ Cell Phone:________________ E-mail Address:______________________________________________ Fax:__________________________ Emergency Contact:_____________________________________ Contact Number:_____________________ SMOKER: check box How Many In Your HOTEL room: [ ] Single [ ] Double [ ] Triple [ ] Quad you [ ]
Roommate (1):___________________________________________ Phone:_______________________ [ ] Roommate (2):___________________________________________ Phone:_______________________ [ ] Roommate (3):___________________________________________ Phone:_______________________ [ ] Special Needs: _____________________________________________________________________________ My signature below affirms that I have completly read and understand all terms & conditions outlined by this registration form and I agree to all the contents herein. I acknowledge that all payments are non-refundable. All "Due By" dates above are mandatory & I agree to adhere as stated. Forfeiting the scheduled payment dates, can and may result in losing your payments. ________________________________________________________ ______________________________ (signature) (date) Enclosed is payment for $___________________ Representing payments for _____________ person(s) please check one: [ ] Deposit Olny (Enclosed) [ ] Payments and/or Balance (Enclosed) Online Payments (Going Green): [ ] Deposit Only (Online) [ ] Payments and/or Balance (Online) Online Payments PLEASE PRINT, COMPLETE AND FAX. Fax Registration Form to (800) 975-5611 ------------------------------------------------------------------------------------------------------------------------- Please make Payments and Money Orders Payable to: Worldwide Motor Coach & Tours, LLC. Mail Payments to: P.O. Box 22601 Baltimore, MD 21203 *Please include proper travel code: CIAA10 on your Check or Money Orders ------------------------------------------------------------------------------------------------------------------------- Credit Card Payments can be made online at: www.WorldwideMotorCoach.com. On the main page, scroll down and "CLICK" on "MAKING PAYMENTS ONLINE". Then scroll down to your proper payment section, "UPCOMING EVENTS - NATIONAL" CREDIT CARD ACCEPTED:
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