60th Annual ICA Conference

Air & Post Conference Tour Reservation Form

Please complete this online form, click "SUBMIT" button on the bottom of this form, and mail this reservation form to GLOBAL TRAVEL BUREAU INC. to the address below : Application Date :

PERSON 1

First Name	Middle Initial	Last Name	Date of Birth	Nationality
Occupation	Passport #	Passport Date of Issue	Passport Expiration Date

PERSON 2

First Name	Middle Initial	Last Name	Date of Birth	Nationality
Occupation	Passport #	Passport Date of Issue	Passport Expiration Date

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Address

City

State

ZIP

Home Phone

( )

Work Phone

( )

E-Mail Adress

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PLEASE SELECT YOUR DEPARTURE GATEWAY AND DESTINATION AIRFARE PREFERENCE Please note that airfare IS INCLUSIVE OF CURRENT TAXES AND FUEL SURCHARGES of $480.00 and is subject to change WITHOUT NOTICE. Airfare is only guaranteed when ticketed. It is therfore suggested that you ticket your airline ticket immediately upon confirmation. These are special airfares for the ICA Conference in Singapore as such it DOES NOT ALLOW FREQUENT FLIER MILEAGE ACCRUAL. At the same time IT DOES NOT PERMIT USING FREQUENT FLIER MILEAGE FOR ANY UPGRADES. To accrue miles there will be an additional charge of $250.00 per ticket. Cancellation penalty after ticketed is $150.00 per ticket. SINGAPORE ONLY Round Trip SINGAPORE ONLY Economy Class Los Angeles / San Francisco. $1240.00 Amsterdam.. USD $895.00 Houston................................. $1290.00 Frankfurt..... Euro 855.00   Airfare is INCLUSIVE OF CURRENT TAXES AND FUEL SURCHARGES (USD $295.00 ex Amsterdam and Euro 65.00) and is subject to change without notice. New York............................. $1340.00 BANGKOK EXTENSION - 5 days 4 Nights (click on title for PDF of itinerary - will open in new window) Round Trip SINGAPORE with BANGKOK EXTENSION ONLY Economy Class Los Angeles / San Francisco......$1290.00 Houston......................................$1340.00 New York...................................$1390.00 BANGKOK AND CAMBODIA (SIEM REAP) EXTENSION - 8 Days 7 Nights (Click on title for PDF of itinerary - will open in new window) Round Trip Singapore with Bangkok/Siem Reap Extension Economy Class Los Angeles / San Francisco......$1390.00 Houston......................................$1440.00 New York...................................$1490.00 Non-US based participants should refer to your respective departure gateway cities. Special fares have been secured through these departure gateway cities for ICA Conference. If your departure gateway city in not listed email sales@gtborientholidays.com and one will be forwarded to your with your respective airfare. CLICK HERE FOR EUROPEAN AIRFARES TO SINGAPORE (new window).

Airline Reservation	From (City)	To (City)	Date
Domestic USA Gateway
Return Flight

Airline Reservation	From (City)	To (City)	Date
Outbound to Singapore
Return Flight

Passports and Visas All visitors are required to have a valid passport and a visa for Cambodia.

Please Reserve

Double Room (1 big bed for 2 people)

Twin-share

Single Room

	Post Conference Tour	5 Days 4 Nights Bangkok Extension Please book your return flight home from SINGAPORE!	$584.00
	Post Conference Tour	8 Days 7 Nights Bangkok & Cambodia Extension Please book your return flight home from SINGAPORE!	$1820.00

Other additional services (Please Specify)

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