To be assured of reservations, please complete and mail this registration form to
MTS TRAVEL, 124 E. Main St., 4th Fl., Ephrata, PA 17522, along with your deposit of $1000 per person.

Enclosed is my deposit check of $__________ $1000 per person or $720 per person with insurance.
Please make check payable to MTS TRAVEL.

(Please Print - name(s) as they appear in passport)

Name 1: ___________________________________________________________________

Name 2: ___________________________________________________________________

Address ___________________________________________________

City, State, Zip ______________________________________________

Phone(evenings) _____________________(day) _____________________ Fax _____________________

E-Mail Address _____________________________________

Room Type:  Twin/Double Single

Rooming with: _______________________________________________________________

Check One:

 I/we wish to be covered by travel protection insurance. (Include $320 per person with your deposit check. This premium is not refundable.)

 I/we do NOT wish to be covered by the cancellation insurance.

Credit Card Information:

 Visa  M/C  Discover American Express

Amount to be charged: Deposit $________ + Insurance $________ = Total Charge $________

Card #: ______________________________________ Exp. _______________________________

Signature:  __________________________________________________________

Please use this space if second person has a different address, OR if more than two persons are traveling from the same address.

  _______________________________________________________________________________________________

  _______________________________________________________________________________________________

OBM061410VPM CST 2013363-40 www.mtstravel.com