WMDProductions & The Arabic Bazaarí

The Magic of MOROCCO TOUR

(11 Days/9 Nights) 9/22-10/2, 2017

 

Full Name (exactly as it appears on your passport please):

 

 

Address:

 

 

Home Phone #: ††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Alternate Phone #:Work:††††††††††††††††††††††††††††††††††††††††††††††††††††† Cell:

 

 

E-mail Address:

 

 

Are you an American citizen?

 

 

If not, what is your nationality?

 

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Number & kind of passport:

 

 

Payment method (please circle one)††† ††††††††††† Check††††††††††††††††††††††††† Cash††††††††††††††††††††††††††† CC:

 

If paying by CC: ††††††††† Visa†††††††††††††††† Mastercard†††††††††††††††††† AMEX ††††††††††† Discover

 

CC Number:

 

CC Expiration Date:†††††††††††††††††††††††††††††††††††††††† ††††††††††† CVV code (three digit # on back of card or four digit # of front of care for AMEX)

 

CC Billing Address:

 

 

Is this CC in your name?†††††††††† yes†††††††††††††††††† no†††††††

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If no, name of CC holder and phone #:

 

Amount paid: please check appropriate categories.

****$75 DISCOUNT APPLIES IF PAID IN FULL BEFORE 6/5/2017****

 

Deposit $795††††††††††††††

Full Payment of $3495

Full Payment (if made before 6/5/2017) $3420
Land Package:$2495

Single Occupancy Supplement:$795††

Other Payment in the amount of:________

 

**PAYMENT PLAN: $795 AT SIGNING UP with 3 PAYMENTS OF $900 EACH, DUE ON 6/19, 7/19 & 8/19, 2017!

**FULL PAYMENT IS DUE BY AUGUST 19, 2017 AT THE LATEST.

**DEPOSIT INCLUDES A REGISTRATION FEE OF $395 THAT IS NON-REFUNDABLE.

**NO REFUNDS AFTER 6/19, 2017

 

Emergency Contact Information:

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Name of Emergency Contact:

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Phone #:†††††††† Home†††††††††††††††††††††††††††††††††††††††††††††††††† Cell

 

Their relationship to you:

 

ANY CONCERNS/ISSUES THAT YOU MAY HAVE AND WE NEED TO KNOW ABOUT?

 

 

 

 

 

I ________________________ have reviewed the brochure/itinerary/registration form for this trip.  I read, understood and agree with their terms.I also agree to hold WMD Productions, Zein Al-Jundi, The Arabic Bazaar, Zeinís Dance Studio/School of Bellydace and all parties involved in the making of any of the event(s) associated with this tour free of liability of any harm and injuries that may result from my participation in such event(s).

 

 

Signature__________________________ Date _________________

 

**for help with connecting airline tickets to/from JFK, NY, please contact**

Ibrahim Fakhreddine @ The Travel Center, Austin TX (512) 250-1141

 

**PLEASE MAKE CHECKS PAYABLE TO WMD PRODUCTIONS**