SOUTHEAST ASIAN NATURAL ADVENTURES

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SOUTHEAST ASIAN NATURAL ADVENTURES VIETNAM & CAMBODIA - FROM AU LAC TO VIET NAM THE TEMPLES OF ANGKOR RESERVATION FORM Please confirm your place by phone on 1 877 285 1170. Enclose a $500 per-person deposit for the main tour and an additional $200 extension deposit to secure your space(s) to reach us within one week of confirmation. Checks should be made out to Nature Travel Specialists Trust Account. Deposits may be made by personal check or credit card; the latter can be called in by phone on 1 877 285 1170. If you do not have a current (6 months beyond return date) passport please call or email us. Please ensure you read and sign our terms and conditions below, which includes our cancellation policy. Payment of a deposit establishes your acceptance of these terms and conditions, and deposits cannot be accepted without receipt of this signed document. Departure October 2011 Angkor Wat Extension YES NO Name(s) Dr/Mr/Mrs/Ms (Please print full name as it will appear on your passport at time of travel; if preferred name differs please enclose this in brackets after passport name) Address City/State/Zip Home Phone Day phone Cell (please include number where you can be reached prior to departure) Email: Please read and sign (each participant/legal guardian must sign): I have received, read and accept the conditions of the General Information section, especially the Cancellation and Responsibilities Terms and Conditions paragraphs. I would like to make reservations for the person(s) listed above with the enclosed deposit. Signature(s)

PASSPORT INFORMATION Please use block capitals and ensure that all travelers details are completed. Please spell out (abbreviations are OK) the month. In addition to the written information below, please enclose a photocopy of the information page of your passport. Expiry Date Issue Date of Birth Expiry Date Issue Date of Birth Expiry Date Issue Date of Birth Expiry Date Issue Date of Birth

Frequent Flyer Numbers: Name: Airline: FF #: GENERAL INFORMATION, TERMS AND CONDITIONS Nature Travel Specialists wants you to enjoy your trip and your anticipation of it. Please read the following carefully to ensure you are aware of all aspects of your travel arrangements with us, and contact us if you have any questions. SERVICES INCLUDED Services included in travel arrangements made by Nature Travel Specialists, LLC and its affiliates (We/Us) are limited to those described in the supplied itinerary. No other services are included or implied. Please check your itinerary and/or tickets carefully for errors or omissions upon receipt, and contact us if necessary. NOT INCLUDED Travel insurance Fees for passports and/or visas US and foreign airport departure, security, reciprocity and other taxes, domestic air taxes, or GST taxes (unless otherwise noted). Where such fees and taxes accompany air or other services they will be charged on a separate line of your invoice, and are subject to change. Tips to drivers and guides Items of a personal nature such as laundry, equipment rental, phone calls, beverages, camera fees etc. DEPOSITS AND PAYMENTS A deposit of $500 per person, plus $200 if the extension is selected, is required when Nature Travel Specialists has been requested to make travel arrangements ( time of booking ). Final payment for all land and air arrangements will be due 61 days prior to travel. All final land arrangement payments are to be made by check unless other arrangements are made with Nature Travel Specialists. Airlines do not guarantee ticket prices until tickets are paid for; therefore quoted prices for airline tickets are subject to variation until ticketed. If ticketing occurs prior to usual final payment date the full price of the ticket including taxes is due at that time. All costs are accurate at time of travel arrangement; however as many arrangements are made well in advance of travel any fluctuations in exchange rates or costs received by Us may result in changed pricing; such reasonable changes are expressly agreed to by you. Some programs sold by Us may have minimum numbers, and may be subject to cancellation or re-pricing if numbers fall below the minimum. Please note that in some circumstances such re-pricing is part of the tour agreement and does not justify withdrawal from the tour.

CANCELLATIONS All cancellations must be made in writing and are effective upon receipt in our office. The following fees apply and are per person: $250 from time of booking until 90 days prior to departure, plus any additional cancellation fees imposed by suppliers. 40% of total costs, plus any additional cancellation fees imposed by suppliers, from 89 to 45 days prior to departure. 100% of total costs from 29 to 0 days prior to departure. Airline tickets are generally non-refundable form time of ticketing. Due to the significant cancellation penalties associated with the cruise and air tickets we strongly recommend travel insurance at time of booking, which we will advise on. No exceptions can be made to the cancellation penalties. Nature Travel Specialists will make good faith efforts to secure refunds from its travel suppliers, and these will be refunded to you subject to the above penalties and at Nature Travel Specialists discretion. Please note that no claim is made that such refunds will be available or made. Many tour suppliers reserve the right to cancel any tour. Should a tour be cancelled, Nature Travel Specialists will inform you of any such cancellation when we are so informed, subject to reasonable working delay. Under such circumstances the supplier will usually refund the full trip cost; however any additional costs such as non-refundable air tickets or penalties, insurance and additional incurred costs are not refundable by either our suppliers or Nature Travel Specialists. Transfers of tours or other travel arrangements to different dates are subject to a 5% transfer fee, plus any fees or penalties imposed by tour suppliers, hotels, airlines etc. AIRLINE TICKETING Nature Travel Specialists and its affiliates act as agents only for airline carriers; all tickets are subject to the rules, restrictions and penalties of the individual carrier. Please note that international and overseas airlines may have different rules, restrictions and responsibilities to those based in the US. Changes made after tickets are issued are subject to penalties. If a nonrefundable ticket is purchased or a ticket subject to airline penalties is purchased and there are subsequent changes, all fees are the responsibility of the traveler. Air arrangements made by Us have been designed to allow for legal and comfortable connection times; however we are not responsible for missed connections and any subsequent travel arrangements and/or costs necessary to continue with your travel arrangements. Where US domestic tickets are issued in conjunction with international tickets any missed connections due to airline delays or weather are usually dealt with by the delivering airline; in most cases they will assist you in making a connection that will help you get to your destination. If not please contact us for further assistance. TRAVEL DOCUMENTS A US passport valid for 6 months beyond your planned return date is essential. A visa may be necessary for travel to your destination; we will advise you of any such requirements and assist with procuring your visa; this may incur additional costs. A number of independent companies offer visa services; you can also apply to the country s Embassy or Consulate for a visa, usually at a lesser or no charge. We are not responsible for entry refusal or subsequent costs due to the lack of a visa; it is the responsibility of the traveler to confirm that they can get and have a valid Visa. If we advise that a visa is not necessary, this information pertains to travelers holding US passports. For those with non-us passports, please contact the appropriate Embassy or Consulate. If you are traveling with minors you should contact your international carrier for specific requirements; usually a notarized letter from the parent(s) and suitable photo ID is required. For safety and ease of travel we strongly recommend minors have their own passport.

HEALTH REQUIREMENTS Health precautions vary with destinations, and you will receive relevant information in your confirmation packet, but it is your responsibility to be aware of any required or suggestions precautions. Travelers who have been in yellow fever areas, or where other certain diseases are prevalent may face certain restrictions. Please make us aware if you have been in such areas within the last 6 months, but it is the responsibility of the traveler to be aware of any restrictions that may apply, and take measures accordingly. Singapore is especially strict in this respect, with an extended quarantine period. No refunds will be given for refusal of entry due to these circumstances. The CDC website - www.cdc.gov/travel - has current information regarding overseas travel. As we cannot know your personal medical condition, you here certify that you are aware of the activities included in this tour/travel and are capable of participating in them. INSURANCE We highly recommend travel insurance, as your personal and credit card insurance may contain limitations. RESPONSIBILITIES, TERMS AND CONDITIONS Nature Travel Specialists LLC, its affiliates, cooperating airlines and agencies (hereinafter referred to as THEY) act only in the capacity as agents in all matters of transportation and tour operations, and THEIR liability is limited to the terms of airline tickets and/or supplier agreements. THEY are not liable for any expenses or injuries due to delays, inconveniences, accidents, expenses or mishaps of any kind whatsoever resulting entirely, or in part, from the negligence of others or from causes beyond THEIR control. THEY can accept no liability or responsibility for injuries, losses or additional expenses due to delays or changes in air or other services, acts of God, sickness, weather, strike, war, terrorism, quarantine, theft, civil unrest, or other causes over which THEY have no control. The right is reserved to substitute accommodations or other modes of transportation and to make any changes in the itinerary where deemed necessary or caused by changes in air schedules. On some activities it may not be possible to accommodate persons with severe health problems or physical disabilities. It is the traveler s responsibility to judge the appropriateness of these travel activities to their physical capabilities. THEY take no responsibility for special arrangements or problems incurred by travelers physically unable to participate in the planned activities. No refund can be made for the absence from planned activities or failure to participate in planned activities unless arrangements are made at the time of booking; such arrangements may not be possible. The right is reserved to decline, accept or retain any person as a traveler for any reason which affects the operation of the planned activities or the rights and/or enjoyment of other travelers. THEY will not discriminate against any individual because of race, sex, creed or nationality. A refund of the cost of recoverable land and/or air services is the limit of THEIR liability. THEY reserve the right to take photographic or film records of any trip or traveler, and may use the record for promotional and/or commercial purposes. All contracts for services provided by Nature Travel Specialists LLC and its affiliates are entered into in the state of Alabama and all parties to such contracts submit to the exclusive jurisdiction of the courts of the state of Alabama. This form must be signed and dated by all travelers and/or legal guardians of travelers and returned to us. Payment of any monies to Nature Travel Specialists indicates acknowledgement and acceptance of these terms and conditions. I acknowledge that I have read, understood and agree to the above terms and conditions.