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:

“Iran Unveiled tour”

Tour Arrival date in Tehran:

September 24 – October 3, 2010
December 10 – 19, 2010

Cost per person for land package is $3,895. based on double occupancy.
Single supplement is: $495.
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 $ Includes single supplement of $495.

The balance of payment is due six weeks prior to arrival in Iran.

Yes, I/we would also like to purchase the special NY-Tehran airfare of $1,250 for the September 2010 or $1,450 for the December 2010 departure. I understand that these prices include all taxes. Space at this special price is limited and air bookings not booked are subject to possible price increases.
Enclosed is my/our payment for air of $1,250 for each of person(s).

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

• passport number
• country of issue
• expiration date
• birth date

for each member of your party.

NOT INCLUDED: Iran visa cost. TunisUSA will obtain visas for all participants who are American citizens. The cost of the visa and its processing is $150. A separate check or credit card charge for this should be made payable to TunisUSA. .