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Traveling Troubadour
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Bill Danoff, Mack Bailey & Rachel Levy Ireland Tour – March 15-23, 2010
Name: __________________________________________Citizenship ______DOB:____________ Legal name as it appears on passport (no nicknames) Mailing Address __________________________________________City/State/Zip:______________________________
E-Mail: __________________________________Tel.__________________________ Cell:__________________________
Rooming with: ________________________________Tel._____________________ Citizenship_________ DOB: _____________
Emergency contact__________________________________________________________________________________________ name relationship telephone
Land Package: ____ persons@ $1799 Air: ____ persons@ $659 + $175 tax Insurance: ____ persons@ $185 or $220
Deposit $350 per person upon reservation……. Final Payment due January 4, 2010
CHECKS MAY BE MADE PAYABLE TO: Traveling Troubadour. Send to P. O. Box 3189, Staunton, VA 24402
Please charge my credit card ___Visa ___Discover ___Master Card ___American Express
Credit Card #___________________________________________Exp. Date___________
Cardholder’s name_________________________________ SIGNATURE______________________________________________
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