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BOOKING FORM: Visit to Casa de Dom Inácio, Abadiânia, Brazil
Please Print & Complete This Form in BLOCK Letters
 

 

Full Name (Important: as it appears on your passport)

 

Mr, Mrs, Miss, Ms ..........................................................................................

 

Address .......................................................................................................

 

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......................................................... Postcode ...........................................

 

Telephone .......................................... Mobile ..............................................

 

Email ..........................................................................................................

 

Passport No ........................................ Expiry Date .......................................

   
Please tick one of the following
 

I wish to go on a two week trip (UK pounds: £700 per person)

 

I wish to go on a three week trip (UK pounds: £900 per person)

 

Other. Please state how many weeks....................................

  I want you to arrange my flight
  I want to arrange my own flight
   
 

Please note: if you arrange your own flight and the times do not coincide with the rest of the group, you will have to pay any extra costs involved i.e.taxis.

   
Please Read & Sign below
 

I wish to join your group to visit João de Deus at The Casa de Dom Inácio, Abadiânia

 

On: (date of trip) From ................................ To ....................................

   
Please tick where appropriate:
 

I enclose a non–refundable deposit of £150.00 and understand the remaining balance of £............ must be paid at least four weeks prior to departure of the trip.

 

I enclose the full amount and understand that £150.00 deposit is non-refundable.

 

I also understand that any optional excursions, extra meals (taken outside the hotel), and taxis (except transfers to and from the airport) and are not included in the price.

   
  I have read and understand the terms and conditions applicable to this booking.
 

Signed ..................................................................................

 

Date .....................................................................................

   
Please make your cheque payable to Lynn Debenham-Drew and post with this form to
 

Mystic Sunrise, 89-737 Huanui Road, Captain Cook, Hawaii 96704, USA

 

Can you please tell me where you heard or read about these trips?

 

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Thank You