Christian Tours - Reservation Request Form

Reservation Request

Indianas Amish Acres

5 Days

Departing on
Tuesday, October 16, 2012

In order to make a reservation for this tour, please complete the following information.
Fields marked with an asterisk (*) are required.
For immediate assistance, please call 1-800-476-3900.

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Customer Contact Information:

First Name*:
Last Name*:
Address*:
Address 2:
City*:
State:
Zipcode*:
Home Phone*:
Work Phone:
Cell Phone:
Fax:
Email*:
Preferred method of contact:*	Mail Telephone Email

Additional Travelers Information:

Number of travelers per hotel room:*

Pickup Location:

Please choose a pickup location from one of the two location lists below.
Pick-up Locations:* See Pick-Up Point Details	Gastonia departure not available on most 1 and 2 day tours, or Charleston or Myrtle Beach tours. NOTE:* Pickup locations for Carolina Panthers football games include Morganton, Hickory, Christian Tours, and Charlotte-Mountain Island.
OR
Additional Pick-up Points:*	Note: We are located in North Carolina, so these additional points are only available if a tour travels through these cities on both its departure and return routes.

Hotel Accommodations

If your tour has hotel accommodations, would you prefer a Smoking or Non-Smoking Room?*
Do you have any other accommodation requests?:

Insurance Information

Would you like to purchase travel insurance
for this tour?*

Click here for travel insurance rates & information.
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Yes
No

Deposit Information

You will be asked to make a deposit when our representative contacts you. Click for deposit requirement information. (opens in new window)

Please see our Travel Information Center for more information.

We Appreciate any Feedback

How did you hear about us?*

Do you have any questions or comments?