Reservation Form

PRINT THIS FORM, FILL OUT AND MAIL TO THE ADDRESS BELOW OR 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:           
  please check all           □     Base Tour                     
       that apply               □     Post-Tour Extension     

I would like a single room   □                                   

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

Signature: ____________________________________________ Date: _________________

Signature: ____________________________________________ Date: _________________

Comments / Special needs:

Please direct inquiries and reservations to:

TEA TOUR OF JAPAN 2010
24260 GRAVER LANE
NAPERVILLE, IL, 60564, USA
630/961-0877 FAX 630/961-0817

Copyright, 2008 The Tea House