CHOWDOWN VIETNAM TOUR RESERVATION- REGISTRATION FORM

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CHOWDOWN VIETNAM TOUR RESERVATION- REGISTRATION FORM TOUR DATE: 18 MARCH - 6 APRIL 2016-3 COUNTRY TOUR NAME: ADDRESS: CITY: PROV/STATE: POSTAL/ZIP CODE: COUNTRY: HOME PHONE: CEL PHONE: COUNTRY CODE: EMAIL ADDRESS: DIETARY PREFERENCES: EMERGENCY CONTACT INFORMATION: TRAVEL INSURANCE & CANCELLATION INSURANCE CONTACT: ROOM PREFERENCE: SINGLE BED TWIN BED DOUBLE BED ALL ROOMS ARE NON-SMOKING (however this is not always guaranteed) SHARING WITH:

PRICE OF TOUR: $ US 2650 Per Person SINGLE ACCOMMODATION: ADD US $ 250 Per Person DOWN PAYMENT AT TIME OF RESERVATION/REGISTRATION: $350 US PP BALANCE OF FULL PAYMENT DUE BY 18 JANUARY 2016 INTERNATIONAL AIRFARE IS NOT INCLUDED PAYMENT IN FULL TODAY GUARANTEES YOU NO FURTHER PRICE INCREASES. PRICE OF TOUR PER PERSON IS BASED ON DOUBLE OCCUPANCY AND IS SUBJECT TO CHANGE DEPOSIT OF $ 35O US PER PERSON DUE NOW TO SECURE RESERVATION - NO DISCOUNTS MAXIMUM 12 PEOPLE IN TOUR SUBJECT TO CHANGE/ 8 PEOPLE MINIMUM TOUR REQUIREMENT PAYMENT METHOD: PAYPAL ACCOUNT - chowdownvietnam@gmail.com CONFIRMATION OF PAYMENT RECEIVED WILL BE E-MAILED TO YOU WITHIN 5 BANKING DAYS START OF TOUR: HANOI - VIETNAM HOST HOTEL DATE & TIME: 4PM - 18 MARCH 2016 END OF TOUR: BANGKOK -THAILAND- HOST HOTEL LAST DAY OF TOUR: 10 AM - 6 APRIL 2016 HOTEL CHECK-OUT: 12:00PM 6 APRIL 2016 We ask that you please make it your own responsibility to acquire your own Vietnam Visa, either online or through the Vietnam Embassy. For further information please go to: www. vietnamvisacorp.com We also ask you to be responsible for travel/cancellation insurance. This is a requirement. Transfer to and from the international airport in Vietnam is available by request at an additional cost. PLEASE ASSURE THAT YOUR PASSPORT IS VALID FOR AT LEAST 6 MONTHS BEYOND THE DATE OF YOUR RETURN FLIGHT (for example: if return home date is 6 APRIL 2016 then your passport must be valid until at least 6 OCTOBER - 2016 Passport Details

PASSPORT NUMBER: FULL NAME (as is shown in your passport): ISSUING COUNTRY: ISSUING CITY: DATE OF ISSUE: DATE OF EXPIRY: PLACE OF BIRTH: DATE OF BIRTH: OCCUPATION: GENDER: male female Please advise if you are applying for a new passport and supply new details prior to making your final payment. Please scan and email completed form and all pages (1-6) to CHOWDOWNVIETNAM@GMAIL.COM Please pay by PayPal: chowdownvietnam@gmail.com Each person is required to return this completed enrollment form with their payment to reserve space. This is subject to change until balance is paid in full. An invoice will be mailed to you. Your deposit will be held in secure banking until confirmation on JULY 15 2015 when the remainder of your balance is due. Please email chowdownvietnam@gmail.com to advise of payment FINAL PAYMENT DUE 18 JANUARY 2016 All prices quoted in US dollars. RELEASE AND ASSUMPTION OF RISK I/WE THE UNDERSIGNED HAVE READ, COMPLETELY UNDERSTAND AND AGREE TO ALL THE " TERMS AND CONDITIONS" AS STATED ON THIS FORM. I /WE ACKNOWLEDGE THAT THE PROGRAM FOR WHICH WE HEREWITH ENROLL UNDER THE ARRANGEMENTS OF 'CHOWDOWN VIETNAM TOUR, INVOLVES CERTAIN INHERENT RISKS AND DANGERS INCLUDING BUT NOT LIMITED TO THOSE LISTED UNDER 'TERMS AND CONDITIONS' ON THIS FORM. IN CONSIDERATION OF AND AS PART PAYMENT FOR, THE RIGHT TO PARTICIPATE IN THE PROGRAM IN WHICH I/WE HEREWITH ENROLL, I/WE HAVE DO HEREBY ASSUME ALL RISKS OF TRAVEL, SPECIFIED OR UNSPECIFIED, EXPECTED OR UNEXPECTED, AND WILL HOLD "CHOWDOWN VIETNAM TOUR HARMLESS FROM ANY AND ALL LIABILITY, ACTION, CAUSES OF ACTION,CLAIMS, DEBTS OR DEMANDS OF ANY AND EVERY KIND AND NATURE, WHICH I/WE NOW HAVE OR MAY ARISE IN CONNECTION WITH YOUR

PARTICIPATION IN THE " CHOWDOWN VIETNAM TOUR " PROGRAM, OR IN ANY OTHER ACTIVITIES SUGGESTED OR ACTUALLY ARRANGED FOR ME/US BY 'CHOWDOWN VIETNAM TOUR' AND THEIR AGENTS OR ASSOCIATES. THE TERMS HEREOF SHALL SERVE AS A RELEASE AND ASSUMPTION OF RISK BY AND FOR ME/US, FOR MY/OUR HEIRS, ASSIGN, ADMINISTRATORS, EXECUTORES AND FOR ALL MEMBERS OF MY/OUR FAMILIES, INCLUDING MINOR CHILDREN. MY/OUR SIGNATURE(S) HERE BELOW ACKNOWLEDGES THAT I/WEHAVE READ AND UNDERSTOOD BOTH THIS ' RELEASE AND AND ASSUMPTION OF RISK' AND THE TERMS AND CONDITIONS OF THIS FORM. EACH PERSON ENROLLING IS TO FILL OUT THIS FORM AND SIGN BELOW Print full name Signature Date Please scan and email completed form to chowdownvietnam@gmail.com WHAT YOUR PROGRAM COST INCLUDES Review the program description enclosed with this enrolment form to be sure you know what is included in the program cost and what is not. INCLUDED IN TOUR 19 NIGHTS IN 3 STAR HOTEL ACCOMMODATION MEALS :. 19 BREAKFASTS 8 LUNCHES 11 DINNERS TOURS. STREET FOOD TOUR. 2 COOKING CLASS. BIKE TOURS ( 2 ). VOUCHER FOR CAVE TOUR.. BOAT TOUR. ENTRANCE ANGKOR WAT. FLOATING MARKET. 2 VESPA TOURS. WALKING TOURS

TRANSPORTATION 1 FLIGHT TO SAIGON 1 FLIGHT TO SIEM REAP 1 FLIGHT TO BANGKOK 1 OVERNIGHT TRAIN 1 DAY TRAIN NOT INCLUDED IN TOUR INTERNATIONAL AIRFARE TO VIETNAM, INTERNATIONAL FLIGHT FROM BANGKOK ARRIVAL AND DEPARTURE TRANSFER DEPARTURE OR AIRPORT TAXES WHEN APPLICABLE VIETNAM VISA CAMBODIA VISA ALL OTHER MEALS ALL OTHER BEVERAGES OPTIONAL TOURS NOT LISTED TRAVEL & CANCELLATION INSURANCE GRATUITIES Plus purely personal costs or expenses such as laundry, postage, phone calls, hotel bills or Non-program beverages or other hotel services ordered. Airfare to Vietnam or other travel to the place where the program begins and ends within Asia Inquiries to CHOWDOWNVIETNAM@GMAIL.COM INSURANCE: We require you to purchase trip cancellation insurance to prevent needless loss due to an accident, illness, or other unforeseen events or circumstances involving you, a family member, traveling companion, his/her family member, causing you to cancel prior to departure or leave the program early. Review your illness & accident insurance to be sure you are covered outside your country of residence &, if it does not, purchase coverage for the period you ll be abroad. We recommend you consider purchasing baggage theft/loss coverage as well. CANCELLATIONS & REFUNDS: Cancellations must be received in writing. Cancellation fees are as follows: Deposits are non-refundable once Chow DownVietnam has confirmed your place. If a participant is early or late at the arrival point and/or early or late leaving at the end of the program, she/he is responsible for arranging her/his own transfers & for any cost or expense thereof.

Return flights from our final destination back to point of origin are specifically excluded in tour costs. NON-REFUNDABLE TICKETS & RESERVATIONS: Chowdown Vietnam Tour does not recommend the purchase of non-refundable airline tickets, and is not responsible for expenses incurred by participants who book such tickets or make pre-paid hotel or other non-refundable reservations, until the minimum enrollment for the program has been reached. Should you be considering making such reservations nonetheless, be sure to check with our office as to the enrollment status of the program to see if it has reached the minimum number for operation. PROGRAM MINIMUN SIZE & CANCELLATION: Chowdown Vietnam Tour reserves the right to cancel the program in the event that enrollment does not reach the budgeted minimum participants. In the event of cancellation, those enrolled may receive a refund up to the full program cost, however if cancellation comes shortly before the program start date & is caused by acts or occurrences beyond our control, and advance deposits made to program vendors/providers cannot be refunded to us, then the refund of the program cost to participants will be affected accordingly. ITINERARY CHANGES: Program vendors/providers in Asia may change personnel, prices, policies, ownership, location or the way they do business. We constantly monitor such events, and reserve the right to make any necessary changes to the itinerary as a result, either before or during the program. Should it become necessary or advisable for the comfort or well being of participants, or upon damage, loss, accident, delay or irregularity of any vehicle, equipment or machinery, or in transporting or lodging the participants or for any reason whatsoever to alter the itinerary or arrangements, such alterations or changes may be made without prior notice or liability or penalty to Chowdown Vietnam Tour. TRAVEL DOCUMENTS: All citizens are required to have a valid passport for travel to and within Asia, with expiry no less than 6 months from the date upon return to home country. Check your passport NOW. If your passport s expiry date is on or before August 2014 re-apply now for a new passport. It is each participant s sole responsibility to be in possession of valid travel documents, including all pertinent visas & passport, required for leaving your country of residence or citizenship, entering and leaving Asia, and re-entering your home port. No refund of the program cost will be made, nor will any expense incurred by a participant due to forgotten, lost, invalid or expired travel documents before or during the program be reimbursed by Chowdown Vietnam Tour LIMITATIONS OF LIABILITY: Chowdown Vietnam Tour' neither accepts nor assumes liability or responsibility of any kind or nature for any fault, defaults, errors, omissions or negligence of any person, school, association, company or other type of service provider used in connection with the delivery of the program; nor for any loss, injury or damage to person or property connected with accommodations, transportation or other types of services. Chowdown Vietnam Tour is not responsible, directly or indirectly, for cancellations, delays, amendments, loss or additional costs incurred by participants due to acts of nature, civil unrest or disturbances, strikes, work stoppages, fire or arson, thefts or inclement weather. INITIAL & DATE: Please scan and email completed signed form to chowdownvietnam@gmaii.com