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Pub Tour Registration

Ireland 2009

With Tours Galore & Nolan’s Irish Pub

Sept. 19-26,2009

$2,699.00 per person

Name of Traveler 1:
Name of Traveler 2:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone Number:
Cell Phone Number:
E-Mail:
Will you be departing from Orlando with the group:
Yes
No
I will make my own air arrangements:
Yes
No
I need airfare from (city):
I would like a single room for an additional $399.00:
Yes
No
Not Yet
I need a roommate:
Yes
No
I would like to extend my stay and return on my own:
Yes
No
Emergency Contact Name:
Relation to you?:
Contact Number:
How will you be paying your deposit?:
Credit Card
Cheque

Written by Mary Nolan

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