| Name of Club |
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| Country |
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| Contact's Name |
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| Contact's administrative position |
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| Contact's mailing address |
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| Email |
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| Contact's Fax Number (Home) |
........................................................ |
| Contact's Fax Number (Work) |
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| Contact's Phone No. (Home) |
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| Contact's Phone No. (Work) |
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| Number of persons in touring party |
........................................................ |
| Type of Package required (A,B,C) |
........................................................ |
| Arrival Date .................. |
Time................Flight No.................... |
| Departure Date .................. |
Time................Flight No.................... |
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