RESERVATION FORM 

Eric Lee & Cynthia Rothrock’s KungFu Tour

September 14 – September 26 (2006)

Beijing, Zhengzhou, Shaolin, Xi’an, Chengdu, Qingchengshan Mountain.

Only $2,895 Per Person

Includes:
Training with Eric in China!
Training with Shaolin Monks!

Please read our Terms and Conditions carefully before filling in form below. You must agree with our terms and conditions to continue making reservation.

Please Fill Correctly!
PERSONAL DATA FOR PASSENGER 1.
Title *
Last/Surname *
First/Given Name *
The first E-mail *
The second E-mail
Passport No.
Home Address *
City *
State *
Country  
Postal / Zip Code  
Your Occupation  
Airport near you
Telephone No. (area code-number)
Fax No. (area code-number)
Birth Date Month Day Year
PERSONAL DATA FOR PASSENGER 2.
Title *
Last/Surname *
First/Given Name *
The first E-mail *
The second E-mail
Passport No.
Home Address *
City *
State *
Country  
Postal / Zip Code  
Your Occupation  
Airport near you
Telephone No. (area code-number)
Fax No. (area code-number)
Birth Date Month Day Year
OTHER PREFERENCES
Smoking     King or Queen Bed   Twins Bed   Single Room    I'm a vegetarian!
 ADDITIONAL INFORMATION
I am paying the following at the moment (check only the item you wish to pay):
$200 Deposit Person x person(s)

Not included in the tour pricing:

  • $350 Single Supplement because I wish not to share room with anyone.
  • Credit Card payment will reflect full price of the tour which is 4% more than cash/check price.
  • Call toll free 1-800-896-1916 for airfare between your Home Town and Gateway City of Los Angeles
  • $110 China Entry Visa Fee 

Please put in any questions, comments, or suggestions you might have regarding our services

  
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