Dash Tours On-Line Reservation System

	PROFESSIONAL SPORTS AND CONCERT TOURS	1024 Winnipeg Street Regina, Saskatchewan Canada, S4R 8P8 Phone (306) 352-2222 Fax # (306) 757-4126

On-Line Reservation Form

Please reserve seats on the:

Event Date:
Number of Nights:
Motorcoach Dinner Air U-Drive
Request Seat Location:

Your Information:

Name:

Street Address:

City:

Province/State:

Country: Canada U.S. Other
Specify Other:

Postal/Zip Code:

Home phone Number:

Work phone Number:

E-Mail Address:

Room Information:

(Please Advise the names of the people staying in each room)

Room #1: 1 Bed 2 Beds Room #2: 1 Bed 2 Beds

Smoking Non-smoking Smoking Non-smoking

Method of Payment:

If you do not want your card number to go over the Internet, and you plan to mail or fax your order, you can leave this information blank and fill it in by hand on your printout. This will not work if you are faxing with a fax modem.
Method of Payment: Credit Card Mailing Payment

Type: VISA Master Card American Express

Card Number:

Expiry Date: /

Name Appearing On Card:

Deposit: Full Payment:

NOTE: A Dash Tours representative will contact you by phone to confirm this reservation.

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Name:
Street Address:
City:
Province/State:
Country:	Canada U.S. Other Specify Other:
Postal/Zip Code:
Home phone Number:
Work phone Number:
E-Mail Address:

Room #1: 1 Bed 2 Beds	Room #2: 1 Bed 2 Beds

Smoking Non-smoking	Smoking Non-smoking

Type:	VISA Master Card American Express
Card Number:
Expiry Date:	/
Name Appearing On Card: