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:______________________________