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Name:____________________________________________________________________________________________

Address:__________________________________________________________________________________________

City:____________________________________________________State:_______________________Zip____________

Phone:_______________________________________________Cell:_________________________________________

e-mail______________________________________________________________________________________________

Roommate:__________________________________________________________________ 

If you have no roommate we can match you up with same gender or you can purchase a single room at an additional $ 350

Air and Land Tour $ 2392.00

Land Only – will meet the tour in Ireland $  1712.00   you are responsible for your own air arrangements and meeting the tour either in Kinsale or Shannon Airport by 7:00 am June 29. Single Room supplement add $350.00 _______________________                                                                                                                                   

Insurance     $139.00           YES              NO    insurance info  www.cietours.com  click the travel insurance tab  

For Credit Card Payments we need your signature on this sheet:

Signature                                                                                                                                        date

Deposit  $250.00   air deposit portion (100.00) is non refundable per airline rules

 Balance due:   April 14, 2008

mail payments to:

Globetrotter Travel
c/o Monica / Ireland Tour
3128 Olney - Sandy Spring Rd
Olney MD 20832 

Fax 301 570 5186