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Costa Rica Coast 2 Coast Logo "Harley Style"

Please fill out the form to register for the Costa Rica COAST 2 COAST - "Harley Style" tour. Upon submission of the form, your space will be held for ten (10) days. Please post a deposit check payable to Walkabout Adventure Travel for $350 per person.

Please print the following form for your copy before submission.

Please mail checks to:
Walkabout Adventure Travel
8797 West Cornell Ave. Suite #6
Lakewood, CO 80227

Name 1:

Senior Citizen (65 or older)
Name as it reads on your passport.
Name 2:

Senior Citizen (65 or older)
Name as it reads on your passport.
Phone#:
Cell:
Fax:
Email:
Address:
City:
State:
Zip:
    

Optional Info:

Seating Preference: Window, Aisle, Smoking, Non-Smoking,

Special Meal/Type:

Yes, I am interested in the Coast to Coast in Costa Rica tour.
Yes, I/we have a valid passport allowing travel in February of 2007.
 No, I/we need assistance with information in optaining a valid U.S. Passport.

Are you interested in a Tour Option? If so check one:
Please reserve space, and provide more information on the Coast to Coast in Costa Rica 1-Day Harley Bike Run and two day Harley Davidson rental.
Please reserve space, and provide information on the Coast to Coast in Costa Rica 1-Day Road Trip and two day SUV rental.
No, I will remain on the included private transfer for the Coast to Coast in Costa Rica 1-Day Scenic Tour.

I/We discovered this tour at the sponsored dealership.

I/We discovered this tour from: (Other)

*** Informational packets will be available no later than November 10, 2006 and will include final itinerary, with further details on insurance, general country information,deposit and final payment information. More information will be available shortly concerning this tour on our website. Please check out our Web site for instant updates and further details in the near future.

Please print a copy of this form for your records, then press Submit.