FlagStretch.jpg (14869 bytes)

mhtlogo1.gif (8431 bytes)
"Travel...where History comes alive!"

Serving Veterans,
Educators, Historians
and their families
since 1987!
* Required fields
*Tour Name:
(Hold CTRL to select multiple tours)
Add-on

 

Participant Information (Name exactly as it appears on your passport)
(1)
*First Name
*Last Name
Suffix(SR,JR,III)
Nick Name
Gender Male   Female Please format your dates in this manner.
mm/dd/yy
Example: 01/03/89
*Date of Birth
Place of Birth
Companion Information
First Name
Last Name
Nick Name
Date of Birth
Place of Birth
Passport Information
Passport #: Issue Date: Expiration Date:

(1)Participant

* * *

(2)Companion

        
Contact Information
*Address
*City
*State/Province
*Zip Code
Country
FedEX Delivery address (P.O. Boxes not accepted)
*Address
*City
*State
*Zip Code
* Daytime phone
*Home Phone
Other Phone #
Fax Number
*E-Mail
Additional Information
Branch of Service/Unit served with(if applicable)
Dates Served:
Emergency Contact Information
*Name
*Phone number
*Relationship
Traveling with Friends
(If traveling with Friends on the same tour, please list)
Friend 1
Friend 2
Special circumstances or requests/ Health Information
*Willing to Share Room
Yes
Sharing w/ spouse or companion
No, I request single room supplement.
(Note: If unable to match with a roommate, single supplement will apply.)
*Have you traveled with MHT before?
Yes
No
*MHT's Terms
I certify  that I have read and agree with TERMS and CONDITIONS.
* Billing Options
Will print out completed form and mail / fax it to you with deposit.
Contact me by phone for payment options.
Military Historical Tours only accepts VISA and MasterCard .
© 2007 Military Historical Tours, Inc.
All Rights Reserved. All prices, itineraries and information on the website are subject to change without notice. Contact MHT for final information.

 

Return to home page
Military Historical Tours, Inc.
4600 Duke Street, Suite 420
Alexandria, VA 22304