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 $300 per person

Please reserve space as follows on the Faith Heritage Tour
with Rev. Dana Statler, August 1–14, 2008

Enclosed is my deposit check of______
($300 per person. Please make check payable to MTS TRAVEL.)

Names(s): (Please Print — Names as they appear on passport)

Name 1: ___________________________________________  Nickname: ________________________

Name 2: ___________________________________________  Nickname: ________________________

Address ___________________________________________________

City, State, Zip ______________________________________________

Phone(evenings) _____________________(day) _____________________ Fax _____________________

E-Mail Address _____________________________________

Room Type:  Twin/Double Single

Rooming With:  __________________________________________________________

 Please assign a roommate, if possible.

Credit Card Information:

 Visa  Mastercard  Discover American Express

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.

  _______________________________________________________________________________________________

  _______________________________________________________________________________________________

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

Signature:  __________________________________________________________

DSH080108NTDE CST 2013363-40 www.mtstravel.com