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Mediterranean Culinary Voyage


WISN presents...
Mediterranean Culinary Voyage - September 12-20, 2008
Reservation Form

Space is limited! Reservations are on a first come first serve basis.
Trip includes pre-cruise night in Venice, 7 night Mediterranean cruise and airfare from Chicago.

Passenger 1 Full Name (as is appears on your passport):
First Name: Middle Name:
Last Name:  
Passport Number: Passport Expiration Date:
(mm/dd/yy)
Country of Issue:  
Birthdate: (mm/dd/yy) Gender: Male Female  
 
Passenger 2 Full Name (as is appears on your passport):
First Name: Middle Name:
Last Name:  
Passport Number: Passport Expiration Date:
(mm/dd/yy)
Country of Issue:  
Birthdate: (mm/dd/yy) Gender: Male Female
   
Mailing Address
Address:
City: State: Zip:
Phone:
E-mail:
   
Select Your Stateroom
1st Choice:
2nd Choice:
   
Travel Insurance
Yes, I would like to purchase travel insurance for my trip.
   
Deposit $400.00 per person
Mastercard    VISA   American Express  
SSL
Credit Card #: Expiration Date: (mm/dd/yy)  
Security Code:  
Please note: a 3% charge will be added for payment via credit card

If you would prefer to pay your deposit by check, please download the reservation form and send checks to the address listed on the form.
Click here to download printable reservation form (pdf).

 

I have read and fully understand the terms and conditions.

   
Comments:
 

For further information CALL 800-558-6850
Reservation are on a first come, first serve basis. Space is limited!

 
 
 

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