RESERVATION FORM
Kenya Safari and Mission Tour


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 $400 per person.

Enclosed is my deposit check of $__________ ($400 per person. Please make check payable to MTS TRAVEL.)

Names(s): (Names as they appear in passport)

1) ____________________________________________ Nickname ___________________________

2) ____________________________________________ Nickname ___________________________

Address __________________________________________________________________________

City, State, Zip _____________________________________________________________________

Phone(evenings) ____________________(day) ____________________ Fax ____________________

E-Mail Address _____________________________________

Room Type:  Double/Twin Single

Rooming With:  __________________________________________________________

 Please assign a roommate, if possible.

Optional Travel Protection Insurance: (To be paid in full at time of deposit)

  Yes! I wish to purchase the optional Travel Protection Insurance at $_(LINDY TO PROVIDE AMOUNT) per person. (This purchase is non-refundable.)

  No, I do NOT wish to purchase Travel Protection Insurance at this time.

Signature:  __________________________________________________________

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

Signature:  __________________________________________________________


CST 2013363-40
www.mtstravel.com