Where the moon mates the sun Booking Sheet PERSONAL DETAILS (Please fill out your details. People accompanying you shall fill out an extra sheet)

Middle Initial

First Name:

Gender: Male o Female o

Second Name:

Born on d/m/y:

in: City/Country:

Passport Number:

Nationality:

Passport Issue Date d/m/y:

Issued in (city):

Passport valid through d/m/y:

Please do also provide a scanned copy of your passport and send this to [email protected] if you are traveling to Libya and Taking Program 1

CURRENT ADRESS

Street

City

ZIP Code

Country

Telephone

e-mail

NAME OF PERSON WE SHOULD CONTACT IN CASE OF EMERGENCY (for you and accompanying travellers)

Full Name

TRAVEL DETAILS

Relationship (spuse, mother…)

Phone (incl. Prefix)

I want to book program code (all prices are Euros)

Program 1: Waw an Namus (Libya) WNP1S4 (2 people tent) WNP1S2 (4 people tent) Program 2: Konya (Turkey) Boarding Frankfurt ( ) or Hamburg ( ) (please mark)

Number of travellers

Price / Person 2.990,00 2.360,00

with Single Supplement 3.738,00

Total

549,00

Total I HAVE READ AND ACCEPT ECLIPSE-CTY'S TERMS AND CONDITIONS PUBLISHED ONLINE (FEBRUARY 2006)

Full Name / Date and Place / Signature

Please (a) sign this document (b) fax it or email it to us and (c) make payments to: CONTACT Liaison Office Tel: +49 6173 324578 Fax: +49 6173 324579 [email protected] www.eclipse-city.com

BANK DETAILS Eclipse City Limited Dresdner Bank Frankfurt (Germany) SWIFT-BIC: DRES DE FF 523 Account Number: 7299 461 00 IBAN DE26 5008 0000 0729 9461 00

NOTE: Only fully paid bookings (Libya by March 15th, Turkey by March 27th) will be considered as accepted

Eclipse City Limited 5 Jupiter House, Caleva Park - Aldermaston, Reading - Berkhire RG7 8NN, United Kingdom

(2nd)

PERSONAL DETAILS (People accompanying the main traveller)

First Name(s): Gender: Male o Female o Nationality:

Middle Initial

Second Name:

Born on d/m/y:

in: City/Country:

Passport

Passport Issue Date d/m/y:

Issued in (city): Passport valid through d/m/y: (3rd)

PERSONAL DETAILS (People accompanying the main traveller)

First Name(s): Gender: Male o Female o Nationality:

Middle Initial

Second Name:

Born on d/m/y:

in: City/Country:

Passport

Passport Issue Date d/m/y:

Issued in (city): Passport valid through d/m/y: (4th)

PERSONAL DETAILS (People accompanying the main traveller)

First Name(s): Gender: Male o Female o Nationality:

Middle Initial

Second Name:

Born on d/m/y:

in: City/Country:

Passport

Passport Issue Date d/m/y:

Issued in (city): Passport valid through d/m/y: (5th)

PERSONAL DETAILS (People accompanying the main traveller)

First Name(s): Gender: Male o Female o Nationality:

Middle Initial Born on d/m/y:

Second Name: in: City/Country:

Passport

Passport Issue Date d/m/y:

Issued in (city): Passport valid through d/m/y:

I HAVE READ AND ACCEPT ECLIPSE-CTY'S TERMS AND CONDITIONS PUBLISHED ONLINE (FEBRUARY 2006)

(2nd) Full Name / Date and Place / Signature

(4th) Full Name / Date and Place / Signature

(3rd) Full Name / Date and Place / Signature

(5th) Full Name / Date and Place / Signature