Travel Experience with Nuvu Traveler.com


	NuVu Traveler		Registration Form for China Trip 2010

Name:	Please print your name exactly the same as your name shown in your passport


First			Middle			Last

Gender:	F	M			Birth date:	(dd/mm/yy)

Address:

	City				State			Zip


Phone#					E-mail:

Passport#						Exp Date (dd/mm/yy)


Specify any limitation/special accomodations needed:

Do you have any diet restriction?

Please list name of person or persons to be notified in case of an emergency:

Name: ______________________________________________________________

Relationship: ______________________________________________________________

address: ________________________________________________________________________

Phone#: ____________________________________________________________________________


Your departure city:

Mark the hotel room you wish to have:

	a.	Double Occupancy:
		Roommate's Name:

	First	_________	_________	Middle	________________		Last	_________________

	b.	Single Occupancy:


Where is your source of this trip information from?					________________________________________________

	Down Payment $ ____________				Ck#	_________


	Signature: _______________________________					Today's Date: ________________________


* Return the form with a copy of your valid passport and your $300.00 p/p trip deposit check payable to:
NuVu Traveler / Code# ______________ Mail to: NuVu Traveler 89 First Street, Suite 204-120, Hudson, OH 44236 USA

NuVu Traveler - Registration