Reservation Form

Tea Tour of
India, Nepal & Ceylon

Base Tour: October 11-24, 2008
Ceylon Pre-extension: October 7-10

Reservation Form

PRINT THIS FORM, FILL OUT AND FAX TO: 630/961-0817

Name #1: __________________________________________________________

Name #2: __________________________________________________________

Passport #1: ___________________________ Passport #2: __________________________

Address: __________________________________________________________________

City, ST, Zip: _______________________________________________________________

Home Phone: ___________________________ Work Phone: _________________________

Email address:_______________________________________________________________

I will be joining the:    □     Pre Tour Extension       ⁬
please check all           □     Base Tour                     ⁫
       that apply

I would like a single room □ ⁯

I have read the "General Information" section and agree to its terms.

Signature: ____________________________________________ Date: _________________

Comments / Special needs:

Please direct inquiries and reservations to:

TEA TOUR OF INDIA, NEPAL & CEYLON
THE TEA HOUSE
24260 GRAVER LANE
NAPERVILLE, IL, 60564, USA
630/961-0877 FAX 630/961-0817