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Reservation Form Enclosed is my deposit of $500 per person for Wildlife Safari in India. Name:________________________________________________________________________ Traveling with:_________________________________________________________________ Address:____________________________________ City:___________________ State:______ Phone: Home_________________ Business_________________ Fax:________________________ Email:___________________ Airline Information: I would like to book air from/to New York as shown in itinerary I would like to extend my trip and fly on different dates: Departure Date:______________________ Return Date:____________________ I will handle my own air arrangements Options and Extensions if any: Specify:__________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Accommodation Request:
(I understand if no roommate is available, I must pay for the single supplement.) I understand that my deposit will be returned, less $250 per person administration fee, if I cancel for any reason up to 90 days before departure and have understood the cancellation penalties as outlined in Limits of Rare Earth Explorations, Inc. Responsibility. Signature: ______________________________ Date: ______________________ Make check payable to Rare Earth Explorations and mail to Rare Earth Explorations, 10 Waterside Plaza #4K, New York, NY 10010-2610. |