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Land Tour of Italy Optional: Single Supplement (add-on if you wish a single room) $ 215.00 Optional Air – Boston to Rome and Venice to Boston $1149.00 + air tax $130.00 & fuel surcharge $200.00 (subject to change) All prices are per person, based on 2 persons in a room. Cancellation
insurance is available and highly recommended. Name as it appears on your passport: Today’s Date_____________________ _______________________________________ DOB ___________ Citizenship _______ Alumni/ School_____ Address _______________________________City _______________________State ____Zip Code __________ Telephone (Home) _____________________ (Work or Cell) ___________________ E-Mail: __________________ Names of other in room _____________________DOB ___________Citizenship
_______Alumni/School_________ Emergency Contact _________________________________Relationship ______________Phone_____________ Tour of Italy $2175.00 X No. of Persons ________ Subtotal __________________ Single Supplement (if applicable) $215.00 Subtotal __________________ Airfare
$1479.00 X No. of Persons_________
Subtotal __________________ Insurance Option Tour Plan Insurance Premium $120.00 x No.________ Subtotal__________________ Form of Payment □Check or money order made out to Traveling Troubadour. Total Due__________________ □Master Card □Visa □Discover □American Express Cardholder’s Name __________________________________________ Card Number _________________________________Exp. __________ Signature _________________________________________________ Traveling Troubadour, L. L. C. |