Mack Bailey & John Sommers Ireland Tour – March 15-22, 2005
Name: __________________________________________Citizenship______DOB:____________
Legal name as it appears on passport and/or driver’s license (no nicknames)
Address_________________________________________________________________________________
City/State/Zip: __________________________________tel.___________________ E-Mail: ________________________
Rooming with: ________________________________tel._______________Citizenship_________DOB: _____________
Emergency contact__________________________________________________________________________________
name relationship telephone
Land Package: ____ persons@ $1285 Air: ____ persons@$325 Insurance: ____ persons@$119
Deposit $300 per person upon reservation by check or money order……. Final Payment due December 1, 2004
CHECKS MAY BE MADE PAYABLE TO: Traveling Troubadour. Send to P. O. Box 3189, Staunton, VA 24402
Please charge my credit card (Final Payment only) ___Visa ___Discover ___Master Card
Credit Card #___________________________________________exp. date___________
Cardholder’s name_______________________ SIGNATURE______________________________________________