Registration form

Back to brochure Amazing China November 2008

Registration Form

(Just print this page out and Fax (412) 344-3937, copy and paste it into an email, or mail it in.)

Name:_________________________________________ Birth Date ____/_____/______ [ ]Male [ ]Female

(as it appears on your passport)

How would you like your name to appear (informally) on our group passenger list__________________________________________________

Street: ____________________________________________________________ Apt # _________________

City/State ________________________________________________________ Zip ___________________

E-Mail_______________________ Phone: H __________________ W ____________________ C ___________________

ACCOMMODATIONS:

Prefer: [ ] Single Occupancy

[ ] Double Occupancy* Roommate Request _______________________________________________

*Roommate Matching Available Upon Request

HONG KONG PACKAGE:

Prefer: [ ] Single Occupancy

[ ] Double Occupancy* Roommate Request _______________________________________________

*Roommate Matching Available Upon Request

AIR TRAVEL:

[ ] Please sign me up for group air from:

[ ] Los Angeles (included in package price) [ ] JFK ($150 add-on)

[ ] I Prefer to make my own flight arrangements (please call Amazing Journeys for exclusions)

Travel Protection Insurance is included if trip is paid in full at least 60 days prior to departure.

T-shirt Size: [ ] S [ ] M [ ] L [ ] XL

PAYMENT:

[ ] Enclosed is my deposit of $350 per person. Full payment due by 8/22/2008

or, [ ] Enclosed is my full payment: $___________ (make check payable to Amazing Journeys)

Charge my: [ ] Visa [ ] Master Card [ ] American Express [ ] Discover

*Deduct $100 if final payment is paid by check

Acct.# ______________________________________________ Exp.Date ______________

Credit card security code (3 or 4 digit code located on credit card)_______________

Signature ___________________________________________

[ ] Yes, enter me in the $50 early booking drawing (deposit received by 3/14/08)

[ ] Check here is you prefer NOT to have your name, phone number or email address on the "Amazing China" Passenger List.

How did you hear about this trip?____________________________________________

I've read, understand and agree to abide by all terms, conditions and information stated in the brochure.

Signature:_______________________________________________________ Date:_____/_______/_____

QUESTIONS AND REGISTRATION:

Call: Amazing Journeys at (800) 734-0493 or (412) 571-0220

or Bill Cartiff at the JCC of Greater Pittsburgh at (412) 521-8011 x 849

E-mail: info@amazingjourneys.net or bcartiff@jccpgh.org

Mail: Amazing Journeys, 733 Valleyview Road, Pittsburgh, PA 15243

Fax: Amazing Journeys at (412) 344-3937 Visit: www.amazingjourneys.net

Responsibility. By signing our reservation form, you agree to the following: Amazing Journeys , LLC and the Jewish Community Center of Greater Pittsburgh act only in the capacity of agents for Ritz Tours and other suppliers of the travel services named in your itinerary or otherwise providing service in connection with this trip (“the Suppliers”), including cruise lines, airlines, hotels, sightseeing tour operators, bus lines, shore excursion companies, and providers of entertainment. We assume no responsibility for any personal injury, property damage, or other loss, accident, delay, inconvenience, or irregularity which may be occasioned either by reason (1) any act or omission of any of the Suppliers (2) any matter beyond our exclusive control including but not limited to a delay or cancellation of a flight that causes the participant to miss any portion of the trip. We do not guarantee any prices or the quality of any services. We have no special knowledge regarding the financial condition of the Suppliers, unsafe conditions, health hazards, weather hazards, or climate extremes at locations to which you may travel. For information concerning possible dangers at destinations, we recommend contacting the Travel Warnings Section of the U.S. State Department at (202) 647-5225 or www.travel.state.gov and click on “Travel Warnings.” For medical information, we recommend contacting the Centers for Disease Control at (877) FYI-TRIP or www.cdc.gov/travel. You assume full and complete responsibility for checking and verifying all passport and visa requirements of the destinations, as well as the conditions regarding health, safety, security, political stability, and labor or civil unrest at such destinations. We reserve the right to change the itinerary of the trip, delete and/or substitute cities to be visited, change the class of service and the mode of transportation, all without prior notice, to the extent that such services and accommodations offered cannot be supplied due to delays, unsuitability, mechanical problems, weather, change of ownership or other causes beyond our exclusive control. Any additional costs will be borne by you. We further reserve the right to withdraw the trip prior to the date of departure. Further, we reserve the right to decline to accept or decline to retain any participant should such person's health or deportment impede the operation of the trip or enjoyment of any other participant. In such case, a refund of unused land tour services is the limit of our liability should such person be required to depart the trip. You agree that we may use photographs of you taken on this trip for publication on our website or in marketing material. The rights and remedies made available under this agreement are in addition to any other rights and remedies available under applicable law. However, we offer refunds under this agreement with the express understanding that the receipt of that refund by a passenger waives the additional remedies, and under no circumstances will be responsible for damages in excess of the amount paid to us by you. All claims must be submitted within 30 days after return of the trip. Any dispute arising out of or in connection with this agreement shall be determined solely by the courts in Pittsburgh , Pennsylvania , and the participant hereby consents to the jurisdiction of said courts.