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Registration Form
Tour name: _____________________________________ Tour date: ___________________ |
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| Name:_________________________ adult/child | Name:_________________________ adult/child | |
| Name:_________________________ adult/child | Name:_________________________ adult/child | |
| Name:_________________________ adult/child | Name:_________________________ adult/child | |
| Address:________________________________________________________________ | ||
| City: ________________________ State:____________________ Zip:____________ | ||
| Telephone Number (H):______________________ (W)__________________________ | ||
| Fax Number:______________________ E-Mail Address:__________________________ | ||
| Cell: ____________________________ | ||
| How did you hear about this tour? ________________________________________________________ | ||
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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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Chinese
Cultural Exchange & Homeland Tours
West Hartford, CT 06127
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