Additional Information and Tailored Tours:

Your Details

Name (Last/First): 

Should be same as on Passport or Visa

Address: 

City/State or Province: 

Zip/Post Code: 

Country: 

 See here for Visa requirements

Telephone : 

  (Inc. Country & Area code)

Fax : 

  (Inc. Country & Area code)

Email Address: 

Please re-enter Email: 

Best way to contact you:  

Telephone Fax EMail

Date of arrival: 

Month January February March April May June July August September October November December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2007 2008 2009

Date of departure: 

Month January February March April May June July August September October November December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2007 2008 2009

General Hotel/Tour preference: 

Deluxe

Superior

Tourist

Number of Adults (over 12): 

Number of Infants/Children (under 12): 

Ages of Children (eg 4,5,7)

Number per Room: 

Number per Room 1 2 3 4

Conferences:

(Facilities needed, spouse tours, number of attendees etc.)

Golfing:

(specify Course type, Handicap etc.)

Honeymoon Packages:

Tailored Tours:

Other:

By Activity:

(Hold CTRL key for multiple choices!!

Select interest(s): Antiques/Art Archaeological Excavation Archaeological Sites Architecture Art Artisan Shops Artisan Workshops Backpacking Beaches / Sunbathing Bicycle / Biking Tours Birdwatching Boat Tours / Boating Canoeing/Paddling Cave & Cavern Diving Climbing/ Schools Cultural Encounters Cultural Tours Cycling & Cascading Educational Tours Ethnic/Religious Family Tours Festivals Fishing (Freshwater) Fishing (Saltwater) Gay-Lesbian Historic Sites History Horseback Riding Hunting Jungle Exploration Kayaking Language Schools Mountain Biking Mountain Climbing Multi-sport Museums National Parks Nature Observation Overland Photography Rafting Railway Journeys Religious River Cruising River Rafting Rock Climbing Romantic Getaway Safaris Sailing Sailing/Cruises Scenic Flights Scuba/Snorkeling Sea Kayaking Senior Tours Shopping Singles Tours Skydiving Small Boat Cruises Snorkeling Spas/Health Retreats Spiritual Trips Swimming Tours for Disabled Trekking Vehicle Tours Walking Tours Watersports Wildlife Viewing Wind Surfing Yacht Chartering

By Location:

(Hold CTRL key for multiple choices!!

Select location(s): Yangon (Rangoon) Bagan Bago Chaungtha Beach Inle lake Kalaw Kyaik-Tiyo Lashio Mandalay Mawlamying (Moulmein) Ngapali Beach (Sandoway) Pakokku Salay Thanlyin Twente Other - Specify in Notes