Booking Form
Oshkosh 2005

Name (as it appears in your passport): ____________________________________________________

Postal Address: _________________________________________________________Code_________

Tel: (W) ______________________(H) _________________________Cell________________________

E mail Address:_______________________________________________________________________

Please reserve my seat on the following option:

“All the Way” R 13 950 Sharing R 14 300 Single
“All the Way plus Tent to Stay” R 14 350 Sharing R 14 700 Single
“Join in the USA”(Chicago) R 3 450 Sharing R 3 800 Single
“Join in the USA plus Tent to Stay”(Chicago) R 3 850 Sharing R 4 200 Single
“Join in the USA plus Tent to Stay”(Oshkosh) R 3 350 Sharing R 3 700 Sharing
“Join in the USA (Oshkosh) R 2 950 Sharing R 3 300 Sharing
“Washington Breakaway” R 2 450 Sharing R 2 950 Single
“Paris Stopover”(4 nights) R 2 650 Sharing R 3 150 Single
“Travel Insurance” R 21 per day. No. days_______ (include departure date and arrival date)

Please note:
A deposit of R1850 is required to validate your booking. Deposit forms part of your final payment and is refundable up to 90 days prior to departure: Prices are quoted per passenger and are subject to change should tariffs or exchange rates alter.

Please fax booking form and payment advice to (011) 467 1205 or e mail to neil1@telkomsa.net

Branch Account Details: Nedbank Northgate Branch Code 169 805 Acc. No. 169 805 6087

Signed:___________________________________Date:______________________________________