Registration Form

NORTHERN ITALY TOURS

3HGlobal Travel, Inc.

FAX (800) 256-5292

www.tournorthernitaly.com

3960 Howard Hughes Pkwy. 5th Fl. Las Vegas, NV 89109 Phone: (800) 256-5292 Ext. 705

 

NAME                                                                                                                                             

 

TRAVEL PARTNER(S)                                                                                                                  

 

ADDRESS                                                                                                                                       

 

                                                                                                                                                        

 

PHONE                                      FAX                                              EMAIL                                   

 

I am registering for the following tour:

 

Sightseeing Tour July 1-8          Sightseeing Tour July 8-15           Folk Music Tour July 15-22  

 

Hiking Tour July 22-29             Wine Tour July 29-Aug. 5           Other                                         

                                                                                                         (please specify)

 

Form of Payment:           Master Card                 Visa                 Check                    PayPal

Payment in Full                         Monthly Installments                             (profitguys@yahoo.com)

 

Total Payment Amount                             

 

Name on Credit Card                                                                                                                       

 

Credit Card Number                                                                                                                        

 

Exp. Date (MM/YY)                                              Security Code                                                   

                                                                                    (last three numbers on back of credit card)

Signature of Credit Cardholder                                                                                                         

 

Please help me with my other travel details (airfare, extended travel plans)                                          

 

Please help me with travel insurance                                                                                                  

 

I have read the terms and conditions for the tour on the website and I agree with them. 
I understand that I am agreeing to participate in the tour and that the tour booking in non-refundable.

 

 

                                                                                                                                                        

                           Signature                                                                         Date