Registration Form - Tour Extensions

Discover Vietnam, LLC
Cycling and Culinary Adventure Tours
3207 La Mancha Way
Henderson, NV 89014
Tel: 1-800-613-0390
E-mail: discover.vietnam@yahoo.com

TOUR EXTENSION
REGISTRATION FORM

( ) Sapa, Halong Bay/Cat Ba Island $995, January 4 - 9, 2008, ( ) Single Room Supplement, $375

( ) Halong Bay, Cat Ba Island, Sapa, $1095, March 28 - April 3, 2008, ( ) Single Room Supplement, $550

( ) 3 Day Mekong River Delta Tour, $495, ( ) Single Room Supplement, $195

( ) Vung Tau Seaside Resort, $325 ( ) Single Room Supplement, $95

( ) Phu Quoc Island, $495, ( ) Single Room Supplement, $100

( ) Cu Chi Tunnels $Black Lady Mt., $135 ( ) Single Room Supplement, $75

( ) Weekend in Dalat, $750, March 14 - 17, 2008, ( ) Single Room Supplement, $350

( ) Cambodia/Angkor Wat, $1195,February 4 - 8, 2008 ( ) Single Room Supplement, $450

( ) Ana Mandara Resort and Spa, $995, January 22 - 25, 2008 ( ) Single Room Supplement, $600

Please note that all of the above tour extension prices are based on double occupancy

Full Name (as in passport)_______________________________________________________

Address:_____________________________________________________________________

City:__________________________________ State:________________ Zip Code:_________

Home Telephone Number:__________________ Work/Cell:___________________________

E-mail Address:_______________________@______________________________________

Room Requirements:

( ) Twin ( ) Queen ( ) King

( ) I will share the room with my travel companion

( ) I want to share the room with another tour member of the same gender
Please read the Discover Vietnam, LLC policy regarding the single room supplement

( ) I want a room by myself and will pay the single room supplement