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Reservation Application

Please reserve ___________ places for me / us on the 2007 Poland & Czech Republic Tour . Enclosed is my / our check in the amount of $_______________ ($300 per person). Please make checks payable to: INTERTRAV CORPORATION

        Please make sure you PRINT  Full First and Last names - No Nicknames, please

__Mr.  __Mrs. __Ms. _______________________________________________________________

__Mr.  __Mrs. __Ms. _______________________________________________________________

Address __________________________________________________________________________

City _______________________________   State ___________________ Zip Code _____________

Home Phone with Area Code _ _ _ - _ _ _ - _ _ _ _          Business/Work  _ _ _ - _ _ _ - _ _ _ _ 

I will room with (if other than spouse) ____________________________________________________

I / We are traveling with  ______________________________________________________________

___ I do not have a roommate but will share. If a roommate cannot be found, I will pay the single supplement.

___ I desire single room accommodations (subject to availability) at the supplementary charge of $380.00.

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