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Registration Form
Tour name: Tour date requested: __________________ |
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| Name:_______________________________ Number of People: ___________________ | |||||||||
| Address:________________________________________________________________ | |||||||||
| City: ________________________State:____________________ Zip:_____________ | |||||||||
| Telephone Number (H):______________________ (W)__________________________ | |||||||||
| Fax Number:______________________ E-Mail Address:______________________________ | |||||||||
| Cell: _________________________ Preferred departure location (please see below:) | |||||||||
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Amount enclosed: $ per person x ______ = _____________ |
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| Signature:____________________________ Date: _____________________ Please complete the registration form and send in with your registration fee payable to CCE to: |
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| P.O. Box 271333 West Hartford, CT 06127 Toll-free: 1-866-666-6520 (860) 523-9797
Copy right © 2007 Chinese Cultural Exchange |