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Reservation Request Form ( * = Required Fields) Contact Info: Company Name: (if not a company then full name as appears on Passport)* Passport Number: (if you do not have your Passport with you at the moment you can provide these details later)* Email:* First Name:* Last Name:* Address:* City:* State:* Postal Code:* Country:* SELECT COUNTRY Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Zaire) Congo Cook Islands Costa Rica Cote d'Ivoire (Ivory Coast) Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon The Gambia Gaza Strip and West Bank Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti The Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro (Yugoslavia) Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Virgin Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam West Bank and Gaza Strip Western Sahara Yemen Zambia Zimbabwe Telephone: Fax: Vacation/Tour Request Details: Tour Title: Dates of Travel:* Duration:* Travellers Names: Number of People (Group_Size):* Start location desired? eg. Bucharest, Cluj, airport, hotel, etc.. Start time desired? eg. flight time/number, 09:30AM, etc.. End location desired? eg. Bucharest, Cluj, airport, hotel, etc.. End time desired? eg. flight time/number, 05:30PM, etc.. Choose an option*: SELECT OPTION Option A: High Standard Hotels (Fully Guided Tour) Option B: Medium Standard Hotels (Fully Guided Tour) Option C: High Standard Hotels (Self-Drive Tour) Option D: Medium Standard Hotels (Self-Drive Tour) Schedule Departure: 20 to 24 July 2010 Schedule Departure: 05 to 09 October 2010 Schedule Departure: 07 to 11 June 2010 What room types do you prefer and how many? eg. number of double rooms, single rooms, triple room, superior rooms, etc.. Meal Requirements, Please Explain. eg. Vegetarian, Kosher, etc.. Comments: Select Form of Payment: Credit Card - Secure online payments provided by RomCard Credit Cards accepted are... *Visa Worldwide *MasterCard European or otherwise Platinum Bank Wire (Details will be sent when tour is confirmed) Click here to read the Terms and Conditions of "SC East Adventures S.R.L." I have read and agree with the terms and conditions I do not agree with the Terms and Conditions Image Verification Write the characters in the image above
Reservation Request Form ( * = Required Fields)
Contact Info:
Vacation/Tour Request Details: Tour Title: Dates of Travel:* Duration:* Travellers Names: Number of People (Group_Size):* Start location desired? eg. Bucharest, Cluj, airport, hotel, etc.. Start time desired? eg. flight time/number, 09:30AM, etc.. End location desired? eg. Bucharest, Cluj, airport, hotel, etc.. End time desired? eg. flight time/number, 05:30PM, etc.. Choose an option*: SELECT OPTION Option A: High Standard Hotels (Fully Guided Tour) Option B: Medium Standard Hotels (Fully Guided Tour) Option C: High Standard Hotels (Self-Drive Tour) Option D: Medium Standard Hotels (Self-Drive Tour) Schedule Departure: 20 to 24 July 2010 Schedule Departure: 05 to 09 October 2010 Schedule Departure: 07 to 11 June 2010 What room types do you prefer and how many? eg. number of double rooms, single rooms, triple room, superior rooms, etc.. Meal Requirements, Please Explain. eg. Vegetarian, Kosher, etc.. Comments:
Select Form of Payment: Credit Card - Secure online payments provided by RomCard Credit Cards accepted are... *Visa Worldwide *MasterCard European or otherwise Platinum Bank Wire (Details will be sent when tour is confirmed)
Select Form of Payment:
Credit Card - Secure online payments provided by RomCard
Credit Cards accepted are...
*Visa Worldwide
Bank Wire (Details will be sent when tour is confirmed)
Image Verification Write the characters in the image above
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