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RESERVATION FORM European Christmas Market on the River Countess
November 30–December 8, 2009
To be assured of reservations, please complete and mail this registration form to
Jim & Loretta Church, PO Box 183, 1035 Valley Road, Telford, PA 18969, along with your deposit of $600 per person.
Please reserve space as follows on the European Christmas Market on the River Countess
November 30–December 8, 2009, with Jim & Loretta Church.
Enclosed is my deposit check of $__________ ($600 per person. Please make check payable to MTS TRAVEL.)
Name(s): (Please Print — Names as they appear on photo ID)

Name 1) ________________________________________

Birthdate _______________________________________

Name 2) ________________________________________

Birthdate _______________________________________

Address __________________________________________________________________________

City, State, Zip _____________________________________________________________________

Phone(evenings) ____________________ (day) ____________________
Fax ____________________

E-Mail Address _____________________________________

CabinType:
Category 5 - Moselle Deck (Base Rate) Category 4 - Moselle Deck
 Category 3 - Danube Deck Category 2 - Danube Deck Category 1 - Rhine Deck


I/we wish to be covered by travel protection insurance as follows:
$310 per person (Please include this payment for travel insurance along with your deposit payment.)
Insurance payments are not refundable.

I DO NOT wish to be covered by travel insurance

Signature: __________________________________________________________

Please charge my credit card as follows:  Visa M/C Discover AMX

$500 deposit per person Exp: __________________________________

$310 Insurance premium per person Card Number __________________________________

Signature: ___________________________________________________________________

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CHR113009VPM CST 2013363-40 www.mtstravel.com |
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