Please print and send this form to Historic Adventure Travel Tours at P.O. Box 5884 Rochester, MN 55903.

Tour Name       _____________________________________________

Name/s       ________________________________________________

Address       ________________________________________________

Phone          ________________________________________________

E-mail         ________________________________________________

Occupancy: ___ Single ____ Double ____ Triple/Quad

___ Smoking Room    ___ Non-Smoking Room   (For Triple/Quad Occupancy please provide rooming list of Travel Party.)

___ Enclosed is my check in the deposit of $ ________ per person made out to Historic Adventure Travel Tours.  Deposit amount is $100.00 for multi day excursions & $25.00 for single day trips (Balance due two weeks prior to departure date.) 

___ Enclosed is my check in full payment for: ___ (Single) ___ (Double) ___ (Triple/Quad)

Check # ____________________ (Full refund with cancellation 30 days prior to departure date.)

Feel free to contact us at:
P.O. Box 5884 Rochester, MN 55903
(507) 990-6283
jgrabkotours@gmail.com