Reservation Form

Charnes Tours
Bicycle and Hiking Tours in Italy

Italian vacations since 2000

Reservation Form
Please complete the entire form and click Submit when finished. We will confirm your reservation upon receipt of this form.

SKIP:

GO DIRECTLY TO OPTIONS
FOR PAYING THE DEPOSIT

To participate in a tour we must have a signed WAIVER on file for each participant. Please print the waiver, sign it, and mail it. We need an original copy not a fax.

Please mail signed waiver to:

Charnes Tours
1985 Grape Street
Denver, Colorado 80220 USA

Tour Name:		Tour Start Date:
Number of Participants:

Personal Information Fields with asterisk * are obligatory

*Name #1: (Primary Contact)

*Address:
*City:
*State/Province:
*Zip/Postal Code:
Country:
*E-mail:
Phone (home):
Phone (work):

Name #2:
Address same as Primary Contact	Same Different
Address:
City:
State/Province:
Zip/Postal Code:
Country:
E-mail:
Phone (home):
Phone (work):

Health and Food

Italy has a socialized medical system comparable to that of other western European countries. Minor illnesses and problems can usually be handled free of charge in public hospitals or clinics. Italian pharmacists are well trained and quite helpful.

In the unlikely event that something more serious happens, please provide the following information. We respect your privacy and only request this information to insure your well being in Italy.

*Age:

Medication:

	I will not be taking a prescription medication.
	I will be taking a prescription medication.

The prescription medication(s) that I will be taking is:

Other health info that you would like us to be aware of:

Food Preferences:

I have no particular dietary restrictions

I do not drink alcoholic beverages

I do not eat red meat

I do not eat fish

I do not eat poultry

Other eating preferences info:

Age: