AIR TICKETS RESERVATION FORM

(PLEASE USE CAPITAL LETTERS)

5. METHOD OF PAYMENT: SERVICES MUST BE PAID DIRECTLY TO TURISMO TAJAMAR.
NO RESERVATION WILL BE CONFIRMED WITHOUT PAYMENT.
Air Ticket, per person : US$ ___________ Total Paxs : ____________ = GRAND TOTAL US$ _____________
a).- Payment with credit card: Visa Mastercard American Express Diners
Credit card number: _____________________________________________________ Expiration date : _____/_____
Cardholders name: _____________________________________________________

Cardholders Signature: _____________________________________________________

b).- Payment with Deposit paid by check over New York payable to TURISMO TAJAMAR S.A. and send by courier to:
TURISMO TAJAMAR S.A. Address : Orrego Luco 023 - Providencia - Santiago / Chile. Att: Mrs. Vernica Retamal
c).- Transfer by swift:
To Turismo Tajamar S.A. Bank of America Nueva York. Account N 6550-9-27632
ABA N 026009593. Please inform by fax the transfer number and the date it has been made.
Important: Make sure that the exact amount is finally received by the bank, excluding any charge made by your bank Any possible difference will be
arranged at your arrival to Pucn.
6. CANCELLATION POLICIES :
- Any modification will be subject to the airline availability upon request and paying a USD 50 penalty per person.
- In case of a cancellation after the air tickets are issued, the penalty will be of a 100% of the total paid.
IMPORTANT
Please return this form to us by fax. Your signature is very important
FAX : (56 - 2) 233 2996
November 14 19 / 2004
1. DOMESTIC AIR TICKETS SANTIAGO / TEMUCO / SANTIAGO:
PRICES PER PERSON, Round Trip Air Ticket.
SANTIAGO / TEMUCO/ SANTIAGO : US$ 140 + US$ 18 TAX
PARTICIPANT PERSONAL INFORMATION: Mr. Mrs. Ms.
FIRST NAME: LAST NAME :
PASSPORT : NATIONALITY :
DATE OF BIRTH : Day: Month: Year: E-M@IL :
Accompanying Person:
FIRST NAME : LAST NAME :
PASSPORT : NATIONALITY :
DATE OF BIRTH : Day: Month: Year: E-M@IL :
DEADLINE
OCTOBER 04 - 2004
Official Travel Agency : Turismo Tajamar S.A. Att. : Mrs. Vernica Retamal
Tel: (56-2) 336-8185 Fax: (56-2) 233-2996 E-m@il : tajamar_congress@tajamar.cl

ALTERNATIVE 1
Fri. 12 Nov. Santiago / Temuco Sky 063 09:00 / 10:15
Sat. 20 Nov. Temuco / Santiago Sky 054 19:00 / 21:05
ALTERNATIVE 2
Sat. 13 Nov. Santiago / Temuco Sky 055 16:30 / 18:35
Sun. 21 Nov. Temuco / Santiago Sky 054 19:00 / 21:05
ALTERNATIVE 3
Sun. 14 Nov. Santiago / Temuco Sky 055 16:30 / 18:35
Sun. 21 Nov. Temuco / Santiago Sky 054 19:00 / 21:05
ALTERNATIVE 4
Sun. 14 Nov. Santiago / Temuco Sky 055 16:30 / 18:35
Sat. 20 Nov. Temuco / Santiago Sky 054 19:00 / 21:05
2. DOMESTIC AIR TICKET FIELD TRIP C4:
PRICES PER PERSON, Round Trip Air Ticket.
SANTIAGO / TEMUCO/PUERTO MONTT/SANTIAGO :
US$ 158 + US$ 18 TAX
FIELD TRIP C4
Sat. 13 Nov. Santiago/Temuco Sky 055 16:30 / 18:35
Wed. 24 Nov. Pto. Montt/Santiago Sky 068 17:30 / 19:05
3. INDIVIDUAL AIR TICKETS:
4. PAYMENT POLICIES:
- Air tickets are subject to reconfirmation at time of payment and issuing.
- Turismo Tajamar has a limited allotment for the flights mentioned above.
- Bookings will be confirmed in the order they are received.
- Air ticket fares and schedules are subject to any modification by the airline without previous notification.
- Full pre-payment is required before October 04th, 2004.
If a participant should require different dates from the ones previously mentioned, please advise and we will send as
soon as possible the available alternative flights and prices.
ROUTE : ______________________________________-__
DEPARTURE Date: ________________ and preferred schedule (aprox.) __________ hrs.
RETURN Date : ________________ and preferred schedule (aprox.) __________ hrs.