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Regent Tours
http://www.RegentTour.com

Reservation Form
( Please Print, Fill out and Mail to us.)

Name of the Tour:  Departure Date:
City/Airport You Will Fly Out of: ->  
Please Include $200 Per Person Deposit.  
First Name, Last Name 
as shown on Passport
[Last Name]
[First Name]
Address  
City, State & Zip  
Telephone (Work)  
Telephone (Home)  
Fax  
Email  
Male [   ]  Female  [   ] Birth Date [    /    / 19       ]
Occupation  
Nationality           [  ]  U.S.A.          [  ]  Canada  Other Nationalities: 
[                                    ] 
Passport No. Passport Expiration Date:
Notice
1.  Prices are quoted on per person double occupancy basis.  If you are a single traveler unable to find a roommate, Regent Tour will attempt to assign someone to you or you may elect the single supplement (private room) option.
[    ]  I will pay for single supplement 
[    ]  I am willing to share a room if you can find a room mate for me.
[    ]  I am NOT a smoker.  [   ]  I am a smoker.
2.  Entry Visa  could be handled by Regent Tour for a fee or handled by yourself. Visa costs are additional. 
3. Prices are quoted on Cash basis.  Personal check is accepted.  Credit Card Payment is subject to 4% service fee.
4. Please read General Conditions on Traveling with Regent China Tours.
5. Please make Check payable to:  Regent Tours

Please print this form and Mail it along with your deposit & if available, your passport copy, to:

Regent China Tours
Attn:  Reservation
1221 Bruce B Downs Blvd., Suite 139, Wesley Chapel, FL 33544.

6. If you have question, email us at help@regenttour.com or call us toll free at 1.800.896.1916

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