Imperial  Royal Tours
                      Reservation form
Imperial Travel
P.O. Box 6009
Lafayette, Indiana 47903
765-447-9321
  E- mail    ImperialTravel@insightbb.com

   Name(s) :     

        

                         
   Mailing  address :  
                             Street                                                                        City                                    State                      Zip
   
  
 Phone Number                                                      Email address
                             
   Please reserve the following tours:       Tour Name                                         Date(s) of tour                                Total Price

1.
                                                                                                                                                                                  $ 
2.
                                                                                                                                                                                   $ 
3.
                                                                                                                                                                                   $
                                                                                                                                                                                                                                                                                                                                                                                                              
    Method of Payment    _____check enclosed    _____I will call  with credit card information          TOTAL   $
                                                                                                             
   Multiple day tour:  ___non smoking  ___smoking   
  Any special needs or personal handicaps( handicap room, cane, wheelchair, special diet, etc.)

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                                Please print and mail to:  Imperial Travel  P.O. Box 6009   Lafayette, Indiana 47903 
                                       or copy and paste and send to our email ImperialTravel@insightbb.com
    
                                                                      THANK YOU FOR TRAVELING WITH IMPERIAL!