RESERVATION FORM FOR ON EAGLES WING TOUR OF IRELAND 2004

To:
Caledonian Travel Inc.
Attention: Mrs. Kate Graham
2563 River Knoll Drive
Lilburn, GA 30047
Telephone: 770-979-1010
Fax: 770-978-6119
Email: caledonians@mindspring.com

I have read and agree to the terms and conditions as set forth in the accompanying tour information.

Signature ___________________________________________

Kindly make reservations for the following person(s):

Name _________________________________________________________________________ (Please print names clearly as they appear on your passport)

Name _________________________________________________________________________

Address ________________________________ City______________ State_____ Zip________ Phone(home):______________ Phone:(bus):

_________________________ Email

Please select accommodation preferred:
__________ 2 twin beds or ___________ 1 double bed

(Please note: group space is normally allotted in twin bedded rooms. We will make a request for a double bed but cannot guarantee this. Rooms for 1 person have 1 single bed.)

I have the following disabilities that need to be considered:
Trouble walking _______________ Trouble climbing stairs _____________________ Other_______________________________

Enclosed is my check in the amount of $ ____________, representing payment in full. (Make check payable to Caledonian Travel and send to above address.)

PAYMENT DUE IN FULL BY APRIL 6, 2004