Ukrainian Trypillian
Tour-2002 Booking Form
One Form For Each Customer.
This Form is Strictly Confidential.
Please
print this Booking Form, fill in, sign and return via fax or mail to the
address
provided below.
You must hold a current
(valid) passport and obtain a visa for Ukraine.
Ask for our help if needed.
1. PERSONAL DATA
Name:
............................................................................................................................
Address:............................................................................................................
..
State:.......................................Zip
Code:....................... Country:.......
.................
Phone (Day):
Phone (Eve):
Fax:
Date of Birth: (MM/DD/YYYY)
Email:
.
Additional data (optional)
Will
anyone accompany you to Ukraine?
(circle)
Yes No
Do you speak Ukrainian or Russian
(circle)
)
Yes No Some
Have you visited Ukraine before?
(circle)
Yes No
2.TRAVEL
INFORMATION
HOW will
you travel to Kyiv ? (circle) :- 1.Air 2.Train 3.Other
(Ask for our airline tickets service, if needed)
Accommodation and other information
(circle):
Double Yes No
Single (+US$350) Yes No
Vegetarian Yes No
3. PAYMENT
Total
payment for a double occupancy (land only) is $1,100 per person.
Please enclose a deposit of $250
(non-refundable) by personal check, payable to Kolos Corporation,
or provide your credit card information:
Credit card:
(VISA, MasterCard)
Card number
..
Expires
(MM/YY):
..Cardholder name
Billing address (If different from the address provided above)
The
remaining part of the total amount should be paid at least 3 weeks before
arrival.
Information package with the list
of recommended things to take with you, details of hotel
and trip accommodations, schedules, maps and the recommended reading about
Trypillian
culture will be provided upon your deposit confirmation receipt.
Your Signature:
......................................................................
Date:
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