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VIP ROMANCE TOURS
RESERVATION FORM
 Please be sure to include your phone number and email address.
A VIP Romance Tour representative will contact
you within 2 days of receipt of this form.

First Name:
Last Name:
Email Address:
Phone Number:
Fax Number:
Address:
City:
State:
Zip Code:
Country:
Passport #:
Date of Birth:
Please select your VIP Romance tour level
Executive
VIP
Presidential
Please charge my credit card Good Faith Reservation Deposit of $500.00. This non-refundable deposit will be subtracted from the amount of my tour. Your account will be billed by "World Wide Data Link"

You may also contact our office at (602)-553-8178
and make your reservation by phone.