Please complete this form and and fax or mail it to us.
You may also submit your reservation request online
1190 S. Bascom Ave. Suite 134 San Jose, Ca 95112 Tel: (408)993-1922 Fax: (408)993-1926 (800)332-9787

Traveler's Information
Last Name ___________________________ First Name _________________________
Date of birth _____________ Sex____ Age_____
Occupation___________________ Citizenship__________________
Passport Number_______________ Date of Issue_____________
Address
Street________________________________________________________
City_________________ State______________ Zip Code __________ Country_________
Phone: work_________________ home___________________ fax__________________
EMail________________________________________
Deposit of $500.00 per person is included: Yes_____ Or Credit Card_________
Credit card number___________________________ Exp_ Date_________
Name on card____________________________ Signature____________________
I confirm that I have read and agreed to all terms and conditions, responsibilities and liabilities mentioned in this brochure.
Signature:____________________________ Date:______________________________