Reservation Form

Use this convenient online form to reserve your trip. Indicate your Full Name as indicated in your passport. For example Michael instead of Mike or Anastasia instead of Stacey.

 

Required information. *

Full Name *as in your passport)

Street Address*

City/Town*

Province (or State)*

Postal/Zip Code*

Country*

Home Phone No.*

Work Phone No.

FAX No.

 

 

 

 

E-Mail Address*

 

 

 

 

Rooming & Travel Arrangements
Preferred Rooming Arrangements (choose either A or B)


 

A.  Please assign me a room with this person:

 

 

B.  Please assign me :

 

 

Roommates will be matched on the basis of age, gender and smoking preference
If choosing to be assigned a roommate, please indicate if you are a smoker or a non smoker
by typing YES or NO here:

 

 

If choosing to be assigned a roommate, please indicate in which age bracket you fall:
other please specify

 


ARCHIVAL VISITS

I wish to visit the archives at Click on down arrow for your selection

 

Please type YES or No for your Archive visit:
I will need a translator


ANCESTRAL SIDE TRIPS

I will be making side trips from Click on down arrow for your selection

To the Villages of

 

 

Please type YES or No for your side trip(s):

I will need a car with driver I will need a car I will need a translator
or preferably a driver/translator

 


 

 

 

 

Do you have any questions or comments?

 

Bloor Travel Agency Limited
2336A Bloor St. West
Suite 200
Toronto ON
M6S 1P3

bloortravel@on.aibn.com

 

We are currently negotiating the costs for the tour and will have the details very shortly. We will post the particulars as soon as we get them. Part of the process is knowing how many are interested in participating in the tour. Knowing how many are interested will affect the overall costs. A detailed itenerary will be posted on this site. In the interim here is a tentative itinerary.


I wish to reserve my space at this time.

 

 

NOTE: When you click the "Okay, reserve a spot for me! " button, it will bring up an e-mail message page with your data. You must ALSO click the "Send" button on the e-mail message page for the data to be sent out.

 

If you have any difficulty using this form, please contact us

 

You may wish to retain a copy of this form. Print this page by clicking the "Print This Form" button. You can also print a blank copy of this form to do your rough work on. Plus, you can snail mail it to:

Bloor Travel Agency Limited
2336A Bloor St. West
Suite 200
Toronto ON
M6S 1P3


Back to Trip To Ukraine Page