Trypillian Civilization 5,508 - 2,750 BC

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©2002-2006
Kolos Corp.
E-mail

Ancient Ukraine Trypillian Tour - 2006
Booking Form    

Ukrainian Trypillian Tour-2006 Booking Form
August 15 - August 26 (12 days)
http://www.trypillia.com <>
703-585-0649 <> kolos@kolos.com

One Form For Each Customer.  This Form is Strictly Confidential.
Please print this Booking Form, fill in, sign and return via mail to the
address provided below.  You must hold a current (valid) passport and obtain
a visa for Ukraine if required for your country. Ask for our help if needed.

1. PERSONAL DATA

Name: ..............................................................................................................

Address:............................................................................................................

State:.......................................Zip Code:....................Country:.......………….......

Phone: Day):.....…........................................Fax:...............................................

Phone (Eve):................................................DOB: (MM/DD/YYYY) ……………….

Email:………………………………………………………………………………….......

Additional  data (optional)
Do you speak Ukrainian (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

Select accommodation and other information (circle):
Double                    Yes            No
Single (+US $350)    Yes            No

3. PAYMENT
Total payment for a double occupancy (land only) is $1,950 per person. Please enclose a deposit of $500 by a personal check or money order, 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 minimum 4 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: ……………….

 Please Return this Form by Mail to:

Kolos Corporation
Att: Mykola Ponomarenko
5841 Colfax Avenue
Alexandria, VA 22311-1013
USA