Your World Travellers' Club Team


Yes, go ahead and book this trip for us:       


My contact information is:

First Name
Last Name
Street Address
Address (cont.)
Zip/Postal Code
Work Phone
Home Phone

The full names (as per our passports) and dates of birth for all members of our party are:

First Name
Last Name
Middle Initial
Date of Birth

Our preferred category of accommodations is:

Silver Category
Gold Category
Deluxe (if applicable)

Our preferred departure airport is:

Somebody in our party needs extra services such as special in-flight meals or wheelchair assistance (details please):

Our desired departure date is:

Please use this space for any notes or comments you may have about your vacation booking:

Author information goes here.
Copyright 1999 [OrganizationName]. All rights reserved.
Revised: 01/07/05

Contact Us

Phone: (510) 895-8495 in the Bay Area or (800) 693-0411. Fax (510) 279-6107

Visit us (by appointment) at 237 Estudillo Ave., Suite 205, San Leandro, CA 94577

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