Name of Tour: Bachmann China Business Tour 2009
Departure Date:
Home City / Airport: ___________
Name (Legal name same as on your passport, please)
Last:
First: ________________
Address: ___________________________________________
City:
State:
Zip: ____
Telephone:
Fax: _________________
E-mail: _________________________Comapny Name: ________________
Male
Female
Date of Birth: __________________
Occupation:
Nationality: ____ ______
Passport No:
Expiration Date: _______
Continental Frequent Flyer Number
#:
Continental Frequent Flyer Number
#:
Print, fill out, and send this form, a photocopy of your passport
photo page, and a deposit
check ($500 per person). Please make check payable to Bill Bachmann.
Send to this address: Bill Bachmann
P.O. Box 950077
Lake Mary, FL 32795
Any questions call: Bill Bachmann at 407-333-9988 after 10:00 am EST.