RESERVATION FORM
TRIP NAME: ____________________________________________
TRIP DATES: ____________________________________________
Please complete and mail to:
Unitours,
3010 Westchester Avenue
Purchase, NY 10577
TOLL FREE (800) 777-7432
Please reserve ________ seat(s)
Enclosed please find deposit of $__________ ($300 per person payable to Unitours Inc.)
PLEASE ENCLOSE A COPY OF THE FRONT PAGE OF YOUR PASSPORT
Name(s)
(as it appears on passport):
____________________________________________________________________
Address:
____________________________________________________________________
City, State, Zip:
____________________________________________________________________
Telephone:
(day) ___________________________ (evenings) ___________________________
E-Mail: _______________________________________________________________
My roommate is: ___________________________________________________
Please assign a roommate (if available)
I prefer a single room - a supplement applies and limited in number
Please make domestic air arrangements from my home city ___________________