Tunisia
Jerry Sorkin, TunisUSA
Access America Travel Insurance Protection Products

RESERVATION REQUEST FORM

Fill out and print this form and mail it to:

TunisUSA
175 Strafford Avenue, Suite ONE # 500
Wayne, PA 19087-3396

Tour Name:

“Building Bridges”

Tour Arrival date in Amman:

October 31, 2009

Cost per person for land package is $5,900. based on double occupancy.
Single supplement is: $1,600.
Airfare is additional. TunisUSA will be happy to assist in air arrangements.

Enclosed is my deposit of $1,300 for each of person(s).

Total cost is $

The balance of payment is due by September 18, 2009

Your Name:
Street Address:
City: 
State:
Zip:  
Telephone (day):
Telephone (evening):

By submitting this application I agree to the general terms posted at TunisUSA and any specific terms relating to the package I am requesting.

Signature This document must be signed

 

 

On a separate sheet of paper please provide the

for each member of your party.

Also, please note any special sleeping arrangements you may require.