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Reservation Form for Ghana Sister City Program ● February 8-16, 2009 Passport Name(s) __________________________________________________________________________ ________________________________________________________________________________________ Billing Address ____________________________________________________________________________ City ___________________________________________ State __________ Zip Code __________________ Phone ______________________________ E-mail ______________________________________________
Deposit is $500 per person. (Terms and
conditions apply.) If paying by check, please make checks payable to Credit Card Information ____ Visa ____ MasterCard ____ American Express ____ Discover Card Number ___________________________________________________ Expiration Date ____________ By signing below I authorize All Africa Expeditions to charge my card in the amount of $ ____________________ Signature ___________________________________________________________ Date _______________ Signature ___________________________________________________________ Date _______________
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