MTS TRAVEL, the leader in missionary, religious and humanitarian travel

RESERVATION FORM
Diocese of Pittsburgh - Ghana Tour
September 15–24, 2006

This tour price reflects special group rates.
Deposits received after June 9, 2006, 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 $300 per person.

Please reserve space as follows on the Diocese of Pittsburgh Ghana Tour
with Greata Stokes Tucker, September 15–24, 2006

Enclosed is my deposit check of $______________

($300 per person deposit. Please make check payable to MTS TRAVEL.)

I wish to pay by credit card. My credit card information is below.

Visa MasterCard American Express Discover Other

Card Number: __________________________________ Expiration Date: ___________________

Name as it appears on Card (please print): _______________________________________________

Signature: _______________________________________________

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

1) _______________________________________________

2) _______________________________________________

Address __________________________________________________________________________

City, State, Zip _____________________________________________________________________

Phone(evenings) ____________________(day) ____________________ Fax ____________________

E-Mail Address _____________________________________

Room Type: Twin/Double Single

Rooming With: __________________________________________________________

Please assign a roommate, if possible

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

______________________________________________________________________________________________

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