Jack Lim China Qigong Study Tour Booking Form
CHINA QIGONG STUDY TOUR
October 2016
Press the Print button on your browser to print the following booking form:
Cost of all expenses after arrival in China (all travel, accommodation, all meals, tickets to attractions, cost of lectures Qigong training etc, excluding airport taxes) A$3,500 (based US$/A$ present general exchange rate) A$ 650 single room fee
Flying China Eastern Airlines; Airfare approx. A$1200 (including tax) based on present airfare this time of year, (including visa fee, not including travel insurance) Travel Agent YBL Travel & Tours, Manager Jojo Zaho, China Portion through China Trusty Travel Company, Beijing. Director Zhang Jing. Total approx. A$4700
A$200 due no later 30 April 2016
BOOKING FORM (Please book now to ensure your place)
Please reserve ___ places on the 2016 Qigong Study Tour. I forward a deposit of $200 (non- refundable)
Your Name/s _______________________________________________________
I forward a NON-refundable deposit of $200 (per person). Cheques written to YBL Travel & Tours.
Cash ▢ Cheque ▢ Visa ▢ M/card ▢ B/card ▢
Card no.▢▢▢▢ ▢▢▢▢ ▢▢▢▢ ▢▢▢▢
Expiry Date ____/____ Name on Card ___________________________
Signature ______________________________ Date _______________
Name (as on Passport) ____________________________ Email__________________________
Phone No. (H)_______________________ (B)_______________________
(M) _______________________ Fax_______________________
Address _______________________________________________________________________
__________________________________________________________ Post Code ___________
Nationality (as per Passport) ______________________ Passport No______________________
Expiry date ______________
Issue date_____________ Place of issue ______________________
Visa No (later)_____________________ Visa category( later)__________________________
Next of Kin: Name________________________________________________________________
Next of Kin: Address______________________________________________________________
_______________________________________________________________________________
Next of Kin: Phone______________________________
Please send this completed form and your deposit cheque to:
Anthony Barker
2 Illalong Court,
Tootgarook VIC 3941
Phone: (03) 5985 6973
Email: antbarker71@yahoo.com.au
