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HOW TO USE THIS FORM:
 
If you wish to sign up for a pre-arranged tour, simply follow the instructions below.

Print this page from your computer. Complete the form and mail with your initial deposit.
$50 Per Person Deposit required for each trip except tours that exceed 7 days and cruises, that require a $100 initial deposit. Make checks payable to: USA Luxury Tours
Be sure to indicate which tour you have chosen on BOTH the form and your check.

AFTER WE RECEIVE YOUR COMPLETED FORM ALONG WITH YOUR INITIAL DEPOSIT, WE WILL MAIL YOU A PAYMENT NOTICE. LET US HEAR FROM YOU TODAY!

Sign Up for a Pre-Arranged Tour Now!


Name________________________________________ # Seats Requested ____
Address________________________________City__________________ State____ Zip_______DOB__/__/____
Telephone# (Home)____________________(Work)________________________________
Name of Requested Roommate___________________________Telephone# ___________________________
Address_______________________________City__________________ State____ Zip_______
Amount Enclosed $ ______________________
*Circle T-Shirt size S M L XL XXL XXXL
If requesting more than one T-Shirt check here _____
*Note/ Circle a T-Shirt size only if you have chosen a trip advertising a Free T-Shirt.

Check Trips Requested:

 
2004 Tours

___Annual Dr. Harold Bruce Pierce Scholarship & Charity Tour to Charlotte, NC 2004
___Atlantic City, NJ GetawayTour 2004
___Canadian Excursion II Tour 2004
___Annual Hampton Jazz Tour in Tidewater, Virginia 2004
___Family Affair Disney Tour in Orlando, Fl. 2004
___Eastern Caribbean Cruise 2004
___Bayou Classic in New Orleans, LA 2004
___Annual Christmas Shopping Extranvagnza in Dutch Country PA 2004

2005 Tours

___Atlantic City, NJ GetawayTour 2005
___Annual Dr. Harold Bruce Pierce Scholarship & Charity Tour to Asheville, NC 2005
___Destination New England Tour 2005
___Essence Music Festival in New Orleans, LA 2005
___Cross Country IV Tour 2005
___Annual Christmas Shopping Extravaganza in Charleston, SC 2005

*** Cancellation Policy ***

You have a 30 day grace period from the time of your initial deposit to cancel your reservation without penalty. Failure to make scheduled payments may result in cancellation without refund. Otherwise, the only way to receive a full refund is to obtain a replacement. If the trip you select is canceled by USA Luxury Tours, you will receive a full refund! Payment within 30 days of your trip MUST be in the form of a certified check, money order or cash!

I have read and consent to USA Luxury Tours' cancellation policy.

signature ______________________________________________
date _______________


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MAIL COMPLETED FORM AND DEPOSIT TO:

USA Luxury Tours
4210 Amesbury Lane
Durham, NC 27707

For further information call: Joe L. Alston at (919) 490-3166 or your local area coordinator.