Worldwide Travel/PAT Tours
1285 Riverdale Street
West Springfield, MA 01089
Tel: 413-747-7702; 1-800-388-0988
Fax: 413-747-8114
e-mail:info@pattours.com

TOUR RESERVATION FORM
Complete and mail with your deposit ($200 per person) or
call us with a credit card number. 
If your traveling companion has a different name and mailing
address, please complete another form.
It is very important that the names you give us match your passport. 
Once tickets are issued, they cannot be changed without penalty. 

TOUR NAME: *
Starting in Poland on: *
Terminating on: *
Requesting flight reservations on (day before the tour starts):
From what city in U.S.: *
                                          
First Name(1):  *
Last Name(1): *
Passport #/Exp.date(1): *
Date of birth(1):  *
                                          
First Name(2): *
     Last Name(2):  *
Passport #/Exp.date(2):  *
Date of birth(2):  *
                                          
Address: *
City:
*  State: *  Zip: *
Specify double, twin or single room: *
Phone:
*  Fax:
Visited Poland before? When?  *
E-mail: *
Comments or special requests, airline preference, etc:

(*required)


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