Tour Number:     

     Tour Title:            

     Departure Date:

     First Name                                                                      

     Last Name            

     Street                   

     City                              

     State/Province       

     Postal Code        

     Country           

     Phone (home) 

     Phone (work)                          

     Fax                          

    E mail                         

    Rooming Arrangements:         

       I prefer a double room    single room (single room supplement)

       shower   bath tub

       My roommate will be

                We prefer twin beds double bed

Please find me a roommate (This option is not available on self-guided tours)

Please check here if you want the half-board option (if available on your tour)

Bicycle Information if it is included as part of your tour::..

............................................ My height is ft inches  

                                                    or meters cm

  I prefer a woman's frame man's frame

    How did you hear about us?

       Advertising   Internet   Friend   

      Other

I have read and accept the tour contract as stated in the Details Section of this  web  site.

   Date     Signature______________________________         

Please print and mail signed  form along with your deposit to:  

(we can hold your faxed or telephoned  reservation for 5 days pending

receipt of  your signed reservation form and your deposit.) 

WorldVentures Ltd, 4642 Whitview Lane, Suite 102, Indianapolis, IN 46237 USA 

      Phone 1-800-800-1775  Fax 317-882-4274   Email- res@world-ventures.com