World Music & Dance Productions

The Splendor of EGYPT TOUR

March 7^th-17^th, 2008

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:

Payment method: Check: Cash: CC:

If paying by CC: Visa Mastercard 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: $500 Deposit Full Payment of $2675

(check if applicable) Single Occupancy Supplement: $450 Land Package: $1675

please note:

**50% OF PAYMENT IS DUE BY JANUARY 1^ST 2008 (amount includes deposit); FULL PAYMENT DUE BY FEB 1^ST 2008.

**DEPOSIT INCLUDES A REGISTRATION FEE OF $250 THAT IS NON-REFUNDABLE.

**NO REFUNDS AFTER JANUARY 1^ST, 2008.

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

Ibrahim Fakhreddine @ The Travel Center, Austin TX (512) 250-1141