This event is SOLD OUT. You may only make a payment if you have previously registered for the event.
WHUR WORLD TOUR 2008
DESTINATION SOUTHERN AFRICA
February 29 - March 11, 2008
ADDITIONAL PAYMENT FORM
MUST HAVE AN EXISTING RESERVATION
If you do not have an existing reservation you must
use the Booking Request Form
Please read Terms and Conditions
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If any
field is not applicable please type N/A
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| Date: |
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| Invoice # : |
(if
Applicable) |
| Agent: |
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| Passenger Name: |
(As it appears on your passport) |
| Passenger Sharing: |
(As it appears on their passport) |
| Passenger Sharing: |
(As it appears on their passport) |
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Credit Card: |
AMEX
VISA
MASTERCARD
DISCOVER
CASHIERS CHECK OR MONEY ORDER
(Make payable to Advantage International, LLC and mail to 195 North Harbor Drive, Suite 4206, Chicago, IL 60601)
Please Note: If you are using a DEBIT card please contact your bank
to authorize the charge amount. |
| Deposit: |
Full and final payment due by January 14, 2008 (A late payment fee of $100 per person will apply for payments received after the final payment due date). |
| Amount
to be charged: |
Enter
Amount authorized to be charged
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| Card Number: |
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| Security Code: |
3 digit number on the back or the card or 4 digit number on front of card
for AMEX |
| Expiration Date: |
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Name on Card:
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Card
holder must be one of the passengers traveling. |
| **Billing Address: |
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| Apt.#: |
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| City: |
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| State: |
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| Zip: |
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| Daytime Phone: |
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| Home Phone: |
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| Fax Number: |
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| E-mail Address: |
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| I accept the terms and conditions.
Yes |
** denotes that documents
will be mailed to this address.
or
Print this page and Fax to
Advantage International, LLC @ 312-266-2707
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| Fax and
make checks payable to:Advantage International, LLC @ 312-266-2707 or
Call 312-266-8687 (TOUR) if you have any questions. I
agree that by participating in any Advantage International, LLC event
that I waive any and all claims of liability against Advantage International,
LLC, their respective employees and agents, for any personal injury or
loss which may occur from my conduct of, or participation in the event.
I understand that is an official waiver that I accept. |
