Blue Travel, Inc.   -    RESERVATION FORM    -   ROVOS RAIL / ROVOS AIR
            Please fax to USA Toll Free: 1-877-605-6888 or
        Australia: +61-2-9475-4888   Germany: +49-69-3809-9888
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CUSTOMER ADDRESS:                                        (please print)
                :  ___ Mr.   ___ Mrs.
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       Last Name:  _____________________________________________________
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      First Name:  _____________________________________________________
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          Street:  _____________________________________________________
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            City:  _____________________________________________________
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      State, ZIP:  _____________________________________________________
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         Country:  _____________________________________________________
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  Tel +Area Code:  _____________________________________________________
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  Fax +Area Code:  _____________________________________________________
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          E-Mail:  _____________________________________________________
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PAYMENT:
       Card Type:  ___ MasterCard    ___ VISA     ___ Diners Club
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                   ___ American Express    ___________________ ID
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     Card Holder:  _____________________________________________________
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 Full Cardnumber:  _____________________________________________________
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 Expiration Date:  ________________________________________ (month/year)
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This is a legally binding reservation request and I authorize
Blue Travel to disclose my personal information to ROVOS RAIL.
I give permission for ROVOS RAIL to charge my credit card accordingly
with the appropriate costs for all reservations requested herewith.
I acknowledge that I am the authorized card holder of this account,
have read the Terms and Conditions and agree to abide by them.
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RESERVATION:
 Route from: ________________________   to: ____________________________
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 Start Date: ______ / ______ / ________ (day/month/year)
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Accommodation Category: __ Pullman Suite  __ Deluxe Suite  __ Royal Suite
                  Type: __ Double Bed     __ Twin Bed      __ Single
               Smoking: __ Non Smoking    __ Smoking
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PARTICIPANTS:
   Title   First Name       Last Name        Birth Date      Nationality
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1. _____________________________________________________________________
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2. _____________________________________________________________________
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3. _____________________________________________________________________
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4. _____________________________________________________________________
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Special Requirements (e.g. Dietary etc):
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Pre-Train Journey Details (Hotel/ Flight, Date, Times, Tel.):
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Post-Train Journey Details (Hotel/ Flight, Date, Times, Tel.):
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Name & Address of Persons to be contacted in Emergency:
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ADDITIONAL COMMENTS:
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City and Date                        Signature