Trypillian Civilization 5400 - 2750 BC

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©2002-2005
Kolos Corp.
E-mail

Trypillian Tour
Wonders of Neolithic civilization on the territory of Ukraine
Booking Form    

Ukrainian Trypillian Tour-2005 Booking Form
June 27 - July 8 (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.  Ask for our help if needed.

1. PERSONAL DATA

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

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

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

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

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

Emails):………………………………………………………………………………….......

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)

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 $1,800 per person. 
Please enclose a deposit of $500 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 minimum 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: ……………….

 Please Return this Form by Mail to:

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