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Real Mexico Adventure Tours - Cultural Ecotourism in México

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TRIP REGISTRATION FORM
 

To confirm your tour registration please fill out this form, print it, then mail or fax it to us.  Questions? Call Toll Free: 1.866.746.8244

Real Mexico Adventure Tours
P.O. Box 2514, Cowichan Bay, BC, Canada, V0R1N0

Phone: 1.250.746.8333  Fax: 1.250.746.8333

 

 Contact Information   
 Name: Mr.Mrs.Ms.                  
 Date of Birth: Month Day Year
 Nationality:                  
 Company: (if applicable) 
 Mailing Address:                  
 Street Address:
 City/Town: 
 Province/State: 
 Postal/Zip Code                  
 Country:                  
 Telephone: (Day)                   (Night)
 Fax Number:
 E-Mail: 
 Health Considerations:                  
 Emergency Contact:                  
 Names of other guests you are signing up:
 
 PAYMENT: Visa   Master Card    Cheque    PayPal
 Name on Credit Card:                  
 Card Number:                  
 Expiry Date:   Validation Code:
 Total Payment including taxes: CDN$
 

BOOK YOUR TRIP TODAY
from our SECURE PAYMENT processor

All personal information is held in strictest confidence!


 

'Come for the Adventure'

 

 

 






 



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