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	Experience Ireland with The Irish Trading Company			SAVE $100 (VOUCHER below)
	Experience Ireland Sept 25 - Oct 3, 2005 Name (per passport) ____________________________________________________________________________ (Name must match with passport or name change charge will apply) 2nd Passenger Name (per passport) _______________________________________________________________ (Name must match with passport or name change charge will apply) Mailing Address (no PO Box please) _______________________________________________________________ City / State / Zip _______________________________________________________________________________ Daytime Tel No (      )                              Evening Tel No (     ) __________________________________________________________________________________________ ___ Room Type:   [  ] Twin  [   ] Single [  ] Smoking [   ] Non Smoking I wish to fly from [   ] NY/NJ (Newark)  Cost (per person sharing)  $2,250.00 [   ] BOS (Boston)  Cost (per person sharing)  $2,350.00 [   ] ORD (Chicago O'Hare)      Cost (per person sharing)  $2,450.00 [   ] Single Supplement  Add $295.00 [   ] Travel Protection Plan Add $ 109.00 (Insurance must be purchased with deposit) Deposit (due June 7th 2005: $200.00 (+ $109 for Travel Protection Plan if desired). I wish to purchase Travel Protection Plan @ $109 per person [   ] Yes [   ] No I have read and accept the terms and conditions of the Travel Protection Plan Signed: _________________________________________________________ Amount enclosed $ _____________________  Make check payable to NACBA. Balance due July 16th.
	Mail to: The Irish Trading Company 20616 North Park Blvd. Shaker Heights, OH 44118 Tel: (216) 371-6886