Almeida Global Ltd.  Box 50041, Edmonton, Alberta, T5Y 2M9, Canada  Tel:780-906-7110
 
Italy 2012 Tour Registration

Please fill out the names and information required for all passengers in your party. Ensure that the names match the names in your passports. Please supply your manager with a photocopy of the passport information page plus a completed medical form. The main contact of your party must read and sign the "tour conditions page?.

 Main Passenger Contact  
Name:  First Last
Birth Date:  Day   Month    Year    Passport Number
Address:
City:
Province:
Postal Code:
E-mail address:
Home Phone:
Cell Phone:

 Passenger  # 2
Name: First   Last
Birth Date: Day    Month    Year    Passport Number
Address:
City:
Province:
Postal Code:
E-mail address:
Home Phone:
Cell Phone:

 Passenger  # 3
Name: First   Last
Birth Date: Day    Month    Year    Passport Number
Address:
City:
Province:
Postal Code:
E-mail address:
Home Phone:
Cell Phone:

 Passenger  # 4
Name: First   Last
Birth Date: Day     Month   Year   Passport Number
Address:
City:
Province:
Postal Code:
E-mail address:
Home Phone:
Cell Phone:

 Additional Information
 Any questions or information that you would like to add?
 Do you have any other people that may also be interested in being contacted?