Please Print
RESERVATION APPLICATION ~ BK # TBA (Main Bk # 23895)
Please reserve ________seat(s) on the Orr Celtic Discovery Tour of Ireland: July 15 - 23, 2003
Name (as on
passport):
____________________________________________________________________________________________
Address:
________________________________________________________________________________________________________
(street)
(city)
(state)
(zip)
Phone:
(home)________________________________________(work)_________________________________________________
Passenger
sharing
with:_______________________________________________________________________________________
(please indicate if roommate is sending deposit
with separate reservation application q Yes
q No
Name (as on
your passport):
___________
Address:
___
(street)
(city)
(state)
(zip)
Phone: (home)
(work)
___________
Deposit of $________________ ($200.00 p.p. is enclosed – due by November 1, 2002. A second payment of $100 per person is due by March 7, 2003.
Travel Protection Plan ($99 per person
– must be included with deposit) q Yes q No
Further Inquires – Please Contact: orriginal@yahoo.com Mr. Peter Orr at: 610-258-5479
Please makes checks payable and send to: Celtic Tours
1860 Western Avenue
Albany NY 12203
MasterCard
& Visa Accepted:
I have
read the terms and conditions per the brochure/flyer and understand that I may incur
service charges, penalties and/or cancellation fees in the event of cancellation or change
in my itinerary for any reason. Travel
cancellation/interruption insurance was explained and offered to me at the time of
original booking.
I
__________________________________________________________authorize Celtic Tours to charge
$__________________on my
Credit Card Number:
________________________________________________________________Exp. Date:
___________________
Signature:______________________________________________________________
Zip Code (mandatory):____________________