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EQUINOX TRAVEL ADVENTURES

Equinox Travel Adventures 258 East 78 Street Suite 4D New York , NY – 10021 Ph: 646 509 7562
Fax: 212 000 0000
RESERVATION FORM FOR TOURS
 

I have enclosed check or credit card authorization form for the full payment or a non refundable deposit of USD 300.00, for a total of USD_________________


First Name :* Last Name :*
Address:*
City:* State :*
Zip :* Telephone : *
E-mail:*    
       

Emergency Contact

 
First Name :* Last Name :*
Address:*
City:* State :*
Zip :* Telephone : *
E-mail:* Relation:
       

Travelers Details: *

     
No Last Name First Name Date of Birth Passport Number Place of Issue Date of Issue Date of Expiry
01:
02:
03:
04:
 
Tour code/Name:
Arrival date in India:*
Departure date from India:*
Hotel category : Budget Deluxe Luxury
Room requirement:* Single   Double   Triple
International air tickets required:
Yes No
Travel Insurance Required:
Yes Decline
Special Requests /Requirements:
Signing this booking form indicates that you have read and agreed upon the terms and conditions.

Signature: _______________________ Date: __________________

(If you are under 18 years of age, signature of parents or guardian is required)

Note: THE TOUR RESERVATION FORM MUST BE SIGNED AND SENT TO US WITH YOUR DEPOSIT (check or credit card authorization) AND VALID PHOTO IDENTIFICATION AND A SIGNED COPY OF OUR POLICY & AGGREMENT.
I have enclosed check or credit card authorization form for the full payment or a non refundable deposit of USD 300.00, for a total of USD_________________
*Required Information
Equinox Travel Adventures 258 East 78 Street Suite 4D New York , NY – 10021 Ph: 646 509 7562 Fax: 212 000 0000