GARGANTUAN Chiangmai NP Reunion Registrationf Form 3

GARGANTUAN NP-LORETO REUNION CHIANGMAI, THAILAND, JULY 23-28, 2005

TRAVEL FORM

Transfers – Chiangmai Airport/hotel/Airport – Complimentary group transfer will be provided only for rooms booked at Reunion hotels

A Private transfer - Chiangmai Airport/hotel/Airport can be booked at Baht 250 per car (can comfortably accommodate up to 2 persons per car) and will be charged to your credit card by the travel agent

Family Name: First Name:

Email address:

Note : For the issue of BKK/CM/BKK airline ticket please give your name as it appears on your passport

Airline Ticket for BKK/Chiang Mai/BKK

Reunion Group Flights:

Bangkok/Chiangmai – July 24^th, 2005 at 09:05 hrs
Chiangmai/Bangkok – July 28^th, 2005 at 10:40 hrs

	Round trip BKK/Chiangmai/BKK – Baht 3,380
	One Way BKK/Chiangmai – Baht 1,690

Airline Booking Conditions:

1) Once ticket booked NO refunds for cancellations or dates changed

2) Replacement permitted up to July 1^st, 2005

Payment (Note: if you have already given your credit card details do not send again)

Credit Card:	Amex	Visa	MasterCard
Credit Card No.:		Expiry Date
CVV No.:	*3 digit number on back of Visa/MC
Credit Card Holder's Name
Amount in Baht:
* Please note this is a new requirement for charging of some credit cards

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