A League of Our Own Booking Form

Please complete and fax or email this form to us.

*Check in Date: ___________________ Check out Date: ____________________

*Subject to availability

Guest's Name(s): _____________________________________________________

Street Address: ______________________________________________________

City: _________________ State/Prov.: __________ Zip/Postal Code: _____________

Phone Number: _____________________ Cell/Bus Phone: _____________________

Email Address: ____________________________________________________

Please charge my payments to:    (Circle one)  Visa  or  MasterCard

Account Number: ___________________________________ Exipry Date: ____/____

Signature: ___________________________________________ Date: _____________

Additional Notes/Requests: ________________________________________________

_____________________________________________________________________

Send completed booking form to:

Heartland International Travel & Tours

Suite 202-3111 Portage Avenue

Winnipeg, MB  R3K 0W4

Fax: (204) 989-9636  Phone: (204) 989-9630  Toll Free: 1-866-890-3377

Email: info@heartlandtravel.ca

Upon receiving this completed booking form, we will contact you with confirmations, tour and payment information