Reservation Coupon
Instructions:  Complete the following reservation coupon.  Mail your completed reservation coupon and deposit check to:

Travel Counsellors, Inc.
435 S. Main Street
Harrisonburg, VA  22801

Your reservation cannot be confirmed until TCI receives your deposit check.


Hawaii: September 2008 Affiliation:
I will mail my check in the amount of $ as a deposit for persons ($500.00 per person). Deposit is due immediately to confirm space. Final payment is due upon receipt of invoice, 65 days prior to departure.   Please make all checks payable to: Travel Counsellors, Inc., 435 S. Main Street, Harrisonburg, VA  22801(Payments must be made by check only)
Use Full Legal Names AS THEY APPEAR ON  ID
Name: U.S. Citizen Other *
Address(1): Tel. # (h)
Address(2): Tel. # (w)
City: State: Zip Code: Email

Roommate: U.S. Citizen Other *
Address(1): Tel. # (h)
Address(2): Tel. # (w)
City: State: Zip Code: Email
Optional Extension (Choose One): Maui       Hawaii        Kauai

Bedding:   1 bed    2 beds

Billing:    Primary    Individually
Traveling With (other than roomate):
How did you hear about this tour:
I certify that I have read and understand TCI's Cancellation Policy
Signature:
PLEASE PRINT THIS PAGE AND MAIL TO TCI WITH DEPOSIT

Travel Counsellors, Inc.
435 South Main Street
Harrisonburg, VA 22801
(540) 434-1796  (800) 572-4049  info@traveltci.com

Once deposit and reservation coupon are received we will forward written confirmation.

To review TCI's terms and cancellation policy click here.
To return to TCI's home page click here.