Reserve Now! Limited Space! Limited Time!
Deposit Deadline May 10, 2002

"Heritage of America"

Please fill out the form to register for the "Heritage of America" tour. Upon Submission of the form, your space will be held for fourteen (14) days. Please post a deposit check payable to Walkabout Adventure Travel, for $300 per person.

Please mail checks to:

Walkabout Adventure Travel
8797 West Cornell Ave. #6
Lakewood, CO 80227

Please print the following form for your copy before submission.

Name 1:


Name as it reads on your passport.

Senior Citizen (65 or older)
Name 2:


Name as it reads on your passport.

Senior Citizen (65 or older)
Phone Number:
Cell Phone:
Fax:
E-mail:
Address:
City:
State:
Zip:
    

Optional Info:

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

Special Meal/Type:

Yes, I have read and agree with the Terms and Conditions on Date:

I hereby authorize the amount of $ (for deposit by check only).

Deposit is refundable less $50 at this time.

****An informational packet with invoice, itinerary, deposit receipt will be mailed with further details on insurance, general country information, and final payment information upon your deposit. More information will be available shortly concerning this tour. Please check out our Web site for more details.

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