____ Enclosed is a $350.00 deposit for 2-week tour
     November 15 - 29, 2012 

____ Total cost: $3550.00 full package including international airfare from/to USA
____ Total cost: $2250.00 full package without airfare

         Full payment due October 15, 2012
      
         * Deposit due September 30, 2012
         **$100 discount for deposits received before September 10, 2012!

Name __________________________________________________

Address _______________________________________________

Home phone ____________________________________________

Business Phone ________________________________________

Email Address  ________________________________________

Date of Birth _________________________________________

Special Interest ______________________________________

MAIL TO:
Ann Barros
341 26th Avenue
Santa Cruz, CA  95062
(831) 475-8738 Phone 
(831) 475-8738 FAX  
email Ann at abarros@pacbell.net