|
click here to return to the China &
Tibet Tours home page
Online Reservation ~ China & Tibet Tour
and/or
Trip Deposit Payment Form
Use this form to:
Register online for the trip of your choice
......or to Register for the trip of your choice and also make a payment of a
$800.00 deposit to reserve your space.
-click here for off line, printer
friendly version... |
call: 1-800-497-4244
or 218-365-6330 to
register by telephone and speak with tour leaders.
______________________________________________
China
& Tibet Tour Online Reservation
and/or Deposit Payment Form
Please provide the following contact information:
First Name | |
Last Name | |
Middle Initial | |
Street Address | |
Address (cont.) | |
City | |
State/Province | |
Zip/Postal Code | |
Country | |
Work Phone | |
Home Phone | |
FAX | |
URL |
Please identify and describe yourself:
| |||||
Choose one of the following trip dates
| |||||
Please list your experience in Qigong, Tai Chi (Taiji), meditation, etc.
| |||||
list anything that would keep you from fully participating with the group (ie: heart condition, asthma, physical limitations)
| |||||
Do you have any special needs we should know about? (allergies, diets, medical needs)
| |||||
Accommodations (private
room additional $450.00)
| |||||
Name of preferred roommate (if applicable)
| |||||
payment options* If you have chosen PayPal
Click Here for PayPal payment
| |||||
Enter your credit card number ... in the space provided below. - --
| |||||
Enter the expiration date of your credit card ... :
* I agree that I will be billed $800.00 as my trip deposit charged on the credit card I have entered above and that I have read and understand the cancellation policy
|