Please make reservations for  (specify number) persons for the IDC Convention in Dublin, Ireland from September 23-26, 2010.

Give full names on all passports for those registering:

Passport #1

(If more than one person is traveling, complete lines below.)

Passport #2

Passport #3

Passport #4

Company Name:

Street Address:

City:

State/Province:

Postal Code:

Country:

Business Telephone Number:

Residence Telephone Number:

Fax Number:

E-mail Address:

HOTEL ACCOMMODATIONS

Burlington Hotel, Dublin, Ireland. September 22-25, 2010, inclusive.

Special Convention Room Rates per night, inclusive of all taxes and full Irish breakfast.

Room Choice

 Classic Single -- Euro 115 per night

 Classic Double -- Euro 135 per night

 Executive room -- Additional Euro 20 per night

 Suite -- Additional Euro 80 per night (limited and subject to availability)

Note: Pre- and Post-Convention room rates are available upon request, based on availability.

Total charges are payable when checking out. A major credit card will hold your reservation. Refer to the notes at the end of the form. Please advise the following:

Check-In Date:

Check-Out Date:

If you have special hotel requests, please indicate (such as non-smoking, lower floor, near elevator, etc.)

DEPOSITS REQUIRED:

Please check all items that apply below.

CONVENTION REGISTRATION

 Sign Me Up for the Convention -- Fee per Member: $575.00

        Requires $300.00 deposit per person.  
$300 X  persons  = $ deposit.

CONVENTION-RELATED TOUR (see Tours page for full details)

 I want to go on the IDC PRE-Convention Tour
(Enchanting Ireland, Sept. 14-22, 2010)
Total cost each, sharing a room: US $3,575.00 (Single supplement $905.00)

        Requires $500.00 deposit per person.  
$500 X  persons = $ deposit.

TOTAL DEPOSIT DUE:

(Input total amount of your calculations above) $

PAYMENT OPTIONS:

You may pay by check (please make it payable to "IDC Convention" and send it to Yamato Travel at the address at the top of this form.

To pay by credit card, let us know when a representative from Yamato Travel can call and take down your credit card information, as well as answer any questions you may have regarding the travel arrangements.

Preferred phone contact (select one):

Please call me at home.Please call my office number.

Preferred time for someone to call (select one):

MorningsAfternoonsEvenings

OPTIONAL INFORMATION TO COMPLETE YOUR TRAVEL

  Please give costs of air transportation:

From:

To:

INFORMATION ON TRAVEL INSURANCE

To protect your deposits and possible administrative charges, we highly recommend the purchase of travel insurance.

 Please send the travel insurance application.