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REGISTRATION
FORM: NOVEMBER 2010
After
you have read the Tour Conditions,
please print this form, fill it out and mail with your payment.
PERSON
#1: Full name (first, middle and last names as it appears on
your passport)
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PERSON
#2: Full name (same as above) and relationship to above:
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| Home
Address |
City |
State
+ Zip |
Home
phone |
Business
phone |
Cell
phone |
Email
address |
Person
#1- Nametag (informal/nickname):
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Person
#2- Nametag (informal/nickname): |
| Vegetarian
(person #1 above):
Yes / No |
Vegeterian
(person #2 above):
Yes / No |
| Emergency
contact (1) Name |
(2) Relationship
|
(3) City,
ST |
| (4) Phone |
(5) Cell
phone |
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PASSPORT
INFORMATION
NOTE:
Passports are required for this trip and
cannot expire within 6 months of the return date.
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Name
|
Passport
#1: _____________________
(first
name as appears on passport)
Passport
being applied for;
info will be sent at a later date.
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Passport
#2: _____________________
(first
name as appears on passport)
Passport
being applied for;
info will be sent at a later date. |
Passport
#
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Issue
date
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Expiration
date
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| Nationality |
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Birthplace
(State)
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Birth
date
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Send
this completed
form with check payable to:
WWE,
PO BOX 471011, CHARLOTTE, NC 28247-1011 |
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