Pilgrimage Tour to Nepal and India
Registration Form
Novemer 28 - December 7, 2005

After making travel arrangements, please fill out the form below. For airline tickets, please call Mimi at Asian Pacific Tours, 206-624-9168

For questions or more information on the tour, please call 206-383-7704.

Name on Passport:
Passport Number:
Date of Birth (MM/DD/YY):
Email Address:
Phone Number:
Address:
City:
State:
Zip:
Departure Airline:
Departure Date:
Departure Time:
Arrival Airline:
Arrival Flight Number:
Arrival Date:
Arrival Time:
Departure Flight Number:
Departure City:
Arrival City:
Bedroom Preference:	Shared Private
Comments:

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