TOUR RESERVATIONS FORM

National Trust for Historic Preservation
Summer Holiday in Ireland, June 23-July 1, 2007 NTIRBB0607 - Literary Traveler

Please complete the traveler information below. A deposit of $500 per person is required to reserve a place on Summer Holiday in Ireland. Deposits may be made by credit card or check.

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Name as on Passport --- Passport # --- Country ------ Expiration Date

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Street Address ---- City ----- State ----- Zip Code

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(Area Code) Daytime Telephone --- Evening Telephone --- Date of Birth

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Name as on Passport --- Passport # --- Country ------ Expiration Date

______________________________________________________________________
Street Address ---- City ----- State ----- Zip Code

______________________________________________________________________
(Area Code) Daytime Telephone --- Evening Telephone --- Date of Birth

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Names(s) for Name Badges

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Method of Deposit *

Please reserve_____spaces on this tour. A total of $________ ($500 per person) should be handled

as follows:

[ ] Check for deposit enclosed.
Please make deposit check payable to: NATIONAL TRUST STUDY TOURS
[ ] Credit Card. Please charge my [ ] Visa [ ] MasterCard [ ] American Express

Card Number: ______________________ Expiration Date: ___________________

______________________________ ______________________________
Name as it appears on credit card (please print) Signature

*Credit cards may be used for the tour deposit and airfare only. The balance of the program price must be paid by check upon receipt of invoice approximately 90 days prior to departure. If you elect to charge your airfare to a credit card, the international ticket will be charged to your account approximately three weeks prior to departure.

National Trust Study Tours are open to members only. If you are not a member of the National Trust,  please enclose a separate check with this form payable to the National Trust for Historic Preservation for a one-year membership as follows:

[ ] $20 individual [ ] $24 family
I (We) are National Trust members. My/our membership number is ___________

Accommodations
[ ] I desire a double-room. My roommate's name is___________________.
[ ] I desire a double-room and I would like you to select my roommate. I understand if a roommate is not available, I agree to pay the single supplement.

[ ] I desire a single room.
[ ] Non-Smoker [ ] Smoker (Out of consideration for other participants, smokers
are asked to refrain from smoking during lectures and while on tour buses).

Statement of Responsibility
The undersigned has read the schedule of activities for Summer Holiday in Ireland, June 23-July 1, 2007,and accepts any risks therein. The undersigned hereby agrees and assigns to release and hold harmless the National Trust for Historic Preservation and any of its officers, agents, licensees or representatives from any and all liability for delays, injuries or death; for the loss of or damage to his/her property; or for personal injury or property damage to others caused by him/her, however occurring, during any portion of, or in relation to
Summer Holiday in Ireland, June 23-July 1, 2007.

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Signature ----- Date               Signature ---- Date

Please send the completed reservation form to: National Trust for Historic Preservation, STUDY TOURS, c/o Bank of America, P.O. Box 320, Washington, D.C. 20055-0320. Or you may phone or fax your reservation to NATIONAL TRUST STUDY TOURS at the following number:

Fax : (202) 588-6246

 

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