THE ORIENTAL INSTITUTE

Eastern Turkey and Black Sea Adventure
May 26 to June 11, 2000

Electronic Registration Form



Submission of this form and a contribution of $400.00 per person constitutes acceptance of my reservation. I understand that I am responsible for payment in full 45 days prior to departure.

Please register the following person(s) for the Eastern Turkey and Black Sea Adventure 

1st Passenger: 
 Passport No.: 
    Exp. Date: 
2nd Passenger: 
 Passport No.: 
    Exp. Date: 

Address1:  
Address2: 
    City:  State:  Zip/Postal Code: 
 Country: 

   Home Phone:   
   Work Phone: 
Fax:   Email: 

	 


I enclose a tax-deductible contribution of $400. 


Credit Card Type: Visa  MasterCard	
Credit Card Number: 
         Exp. Date: 


 


Comments

RETURN TO Eastern Turkey and Black Sea Adventure ITINERARY

RETURN TO MEMBERSHIP INFORMATION

Revised: January 25, 2000
Copyright © 1999 Oriental Institute, University of Chicago
http://oi.uchicago.edu/OI/PUBPROG/etblarf_Elec.html