Huit Huit Tours Trip Application Form

I have read the description and all the additional information pertaining to this trip and understand my commitments.

Signature:  _____________________________                    Date: __________________

Name of Trip:  _______________________  Trip #:  ______ Dates:  ________________

Name: __________________________________

Address:  ________________________________

City:  ___________________________________

Prov./State: _____________________________

Country:  _______________________________  Postal / Zip Code:  ____________

Home Phone:  ___________________________  Bus. Phone: _______________________  

Fax:  ___________________________________  E-mail:  ____________________________

Do you have any physical limitations? ___________________________________________

Do you have any dietary restrictions?  ___________________________________________

Cost of Tour:               $ _________        Enclosed is my:     (  )  Deposit 25% Tour cost  + GST

GST 7 %                     $ _________                                       (  )  Full Air fare + GST

Airfare                          $ _________                                                  

Total:                           $ _________                                       (  )  Full Payment-due 60 days prior  

                                                                                                       to trip dates

Amount enclosed:       $ _________               (   )  Cheque                (  ) Visa-add 5 % to payment

VISA # _______________________________        Exp. Date: __________

Direct Deposit:  Date: _________________            Bank:  ________________________

Please make your cheque or money order payable to Huit Huit Tours.  Add 5 % to the amount paid with Visa.

Mail to: Huit Huit Tours, P. O. Box 4, Cape Dorset, Nunavut  X0A 0C0  CANADA

Or by fax:        (867) 897-8434