World Music & Dance Productions
The Splendor of
April 22nd-May 2nd, 201
& 5 day Sharm El Sheik/Red
Sea additional Package
May 2nd-6th, 2011
Full Name (exactly as it appears on your passport
please):
Address:
Home Phone #: Alternate
Phone #: Work: Cell:
E-mail Address:
Are you an American citizen?
If not, what is your nationality?
Number & kind of Passport:
***PLEASE NOTE THAT EGYPT REQUIRES THAT YOUR PASSPORT
EXPIRES NO SOONER THAT LEAST TWO MONTHS OF THE DATE OF ENTERING THE COUNTRY***
Payment method (please circle one) Check Cash CC:
If paying by CC: Visa Master Card AMEX Discover
CC Number:
CC Expiration Date: CVV code (three digit # on back of card or four digit # of front of care for AMEX)
CC Billing Address:
Is this CC in your name? yes no
If no, name of CC holder and
phone #:
Amount paid: (please check appropriate categories)
Land Package/Egypt Tour: $1995
Single Occupancy Supplement/Egypt Tour: $495
Sharm El Sheikh Package $1095
Single Occupancy Supplement/Sharm Package: $400
**50% OF BALANCE IS DUE BY FEB 12TH, 2011
**FULL PAYMENT IS DUE BY MARCH 19TH, 2011 AT
THE LATEST.
**DEPOSIT INCLUDES A REGISTRATION FEE OF $350 THAT IS
NON-REFUNDABLE (Full refund if for any reason Tour is cancelled by WMD Productions)
**NO REFUNDS AFTER FEB 12TH,
2011.
Emergency Contact Information:
Name of Emergency Contact:
Phone #: Home Cell
Their relationship to you:
ANY CONCERNS/ISSUES THAT YOU MAY HAVE
AND WE NEED TO KNOW ABOUT?
I
_________________ have reviewed the brochure for this trip, read and understood
the terms of this agreement and agree to hold WMD Productions, Zein Al-Jundi,
The Arabic Bazaar, Zein’s Dance Studio and all
parties involved in the making of any of the event(s) associated with this tour
free of liability of any harm and injuries that may result from my
participation in such event(s).
Signature ________________________
Date _________________
**for help with connecting
airline tickets to/from JFK, NY, please contact**
Jim Pierce @ Value World Tours / jim@valuecruises.net
**please make
checks payable to WMD Productions**