Registration Form - Featured Tours

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

REGISTRATION FORM
( ) Hanoi to Saigon Cycling Tour, $3420
( ) Single Room Supplement, $975

( ) Mekong River Delta Cycling Tour, $2695
( ) Single Room Supplement, $650

( ) “A Taste of Vietnam” - Culinary Tour, $3895
( ) Single Room Supplement, $1400

Enclosed Payment:
( ) $500 Deposit
( ) Full Payment $__________

Full Name (as in passport)_______________________________________________________

Address:_____________________________________________________________________

City:__________________________________ State:________________ Zip Code:_________

Home Telephone Number:__________________ Work/Cell:___________________________

E-mail Address:_______________________@______________________________________

Required Information For Vietnam Visa Approval:

Place of Birth:__________________________ Date of Birth:__________________________

Citizenship:____________________________ Passport Number:_______________________

Expiration Date:________________________ Occupation:___________________________

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

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

If you are joining the cycling tour, we need information about the bicycle that you will bring:
Type: ( ) Road ( ) Hybrid ( ) Mountain

Make:_______________ Model:_________________ Tire Size:_______________

After completing this form, you have to download, print and complete the ‘Waiver of Liability Form.’ Read the information on the ‘Waiver of Liability Form’ carefully, and sign and date the form. Return both forms to Discover Vietnam, LLC.