Walking Tour Registration Form

42 Washington Mews, New York, NY 10003 Fax: 212.995.4327 Complete this form on-line and print it. Then sign it and fax or mail to us.

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Personal Information:

Name:
Address:
City:		State/Zip:	ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Day Tel.:		Eve. Tel.:
E-mail:

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Amount Due:

$30.00

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Payment Information:

Visa

MasterCard

AMEX

Money Order

Card Number:
Expiration Date:

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X

Date

Signature and Date required! *We do not offer any refunds once you have registered for the walking tour.