Name (As it appears on your passport) _______________________________________       O M        O F

Address __________________________________________________________________________

Phone __________________

E Mail_______________________________________

Smoking? yes O no O

Special Diet? _________________________________

Total enclosed: $ __________ Balance due: $ ____________

Please note: If you are registering as a single, you will be assigned a double room with another single of the same sex.
Single supplement is also available if you prefer private accommodations for an additional charge of $480
If you another participants and wish to have them as a roommate, please provide their name:_______________________________________________

Do you want your name and telephone number appear on tour roster? Yes O No O

How did you hear about this tour ?: _____________________________________________

Make check or money order in U.S. dollars payable to: Middle Eastern Music and Dance,
and Mail To: Middle Eastern Music and Dance, 3244 Overland Ave., No. 1, Los Angeles, CA 90034.

PHOTO RELEASE STATEMENT: By registering to go on this tour, each attendee grants Toru Operator Middle Eastern Music and Dance productions, its employees, agents and assigns; the use of attendee's likeness, voice, sound effects and/or musical performance in photographs, motion pictures, videotapes, and recording media only for use in promotion of future Tours to Turkey. Each attendee also grants in perpetuity the right to reproduce and/or redistribute in any manner whatsoever the attendees likeness, voice, sound effects and/or musical performance.