ITCC International Tea Training Center
Reservation Form
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Please print this form, fill out and mail to the address below or email to: ddrteaman@aol.com
Course Name: __________________________________________ Course Date: ____________________________
Name #1: (as on passport)_________________________________ Date of Birth: _____________________________ Name #2: (as on passport)_________________________________ Date of Birth: _____________________________ Passport #1: ________________________________________ Exp Date: _____________Country: _______________ Passport #1: ________________________________________ Exp Date: _____________Country: _______________ Address: ________________________________________________________________________________________ Address: ________________________________________________________________________________________ City, ST/Prov, Postal Code: _________________________________________________________________________ Home Phone: ______________________ Work Phone: ______________________ Mobile: _____________________ Email address(es): _________________________________________________________________________________ I have read the "General Information" section for the respective course and agree to its terms. Signature: ____________________________________________ Date: _________________ Signature: ____________________________________________ Date: _________________ Comments / Special needs or requirements:
Please direct inquiries and reservations to: Copyright, International Tea Cuppers Club, 2020 |
