RESERVATION  FORM (Ethiopia 2009)

NAME ON PASSPORT  

TITLE Mr./ Mrs./ Ms./ Dr.

ADDRESS

Telephone Numbers HOME CELL BUSINESS

Email 

PASSPORT  NUMBER                           If not a US Citizen: Nationality:

EXPIRATION DATE DATE OF BIRTH

Emergency contact: Name Phone day: Phone night:

Hotel request:

Room mate: or single room (additional fee: 750.00$)

Flight Request: Window Aisle .

Any special needs or requests:

TRAVEL INSURANCE: The exact amount will depend on your age and if you want to insure the Ethiopia section of your trip only or if you want to insure the flight as well. Insurance for the whole trip will cost about 195.00.

YES I want to insure flight and Ethiopia land part:  

YES I want to insure only Ethiopia land part (in case you take care of your own flight arrangements)

BOOK FLIGHT: Do you want HURLEY TRAVEL EXPERTS to book your flight from Boston to Addis Abeba: 1275.00 (prices cannot be guaranteed until purchased)

YES I want HURLEY TRAVEL EXPERTS to book my flight:

NO, I will make my own flight arrangements  

I will send immediately a check with the following amount to HURLEY TRAVELS:

I will call HURLEY TRAVELS to give my credit card information  

STUDENTS

I am taking this trip for credit

I am taking this trip as an auditor

Additional remarks

***Please Note: airfare can change due to taxes and fuel surcharges
***If you have any insurance questions please call TRAVELEX at 800-504-7883
***Hurley Travel will not be liable for injury, damage, delay, mishap, inconvenience or irregularity occasioned through the default of any company or individual engaging in transporting passengers or providing service.

Travel Agency:
 HURLEY TRAVEL EXPERTS, 415 Cumberland Ave, Portland, ME 04101
Pat Wilcock Tel: 800 874 1743 / email  pwilcock@travelexperts.com