Deposits received after August 7, 2009, will likely incur additional charges due to supplier contract terms.

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.

Please reserve space as follows on the Lancaster Mennonite Historical Society Tour
with Sameul E. Wenger, August 7–18, 2010.

Enclosed is my deposit check of $__________ ($1000 per person.)
Please make check payable to MTS TRAVEL or provide credit card information below.

(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: _______________________________________________________________

Credit Card Information:

 Visa  M/C  Discover American Express

Card #: ______________________________________ Exp. _______________________________

Signature:  __________________________________________________________

Travel Protection Insurance (check one):

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

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

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

  _______________________________________________________________________________________________

  _______________________________________________________________________________________________

  I have read and understood the Tour Features and Conditions and agree to the terms therein.

Signature:  __________________________________________________________

OBW080710VDE CST 2013363-40 www.mtstravel.com