Use this form to reserve the tour you want. Your early deposit holds your place.

Payment options:	Check
	Money Order
	Visa
	MasterCard
	American Express
Card #:
Expires:
Name on Card:
Charge my card for :	The Full Amount
	$100 Deposit Per Tour
	Other
Personal Information
Date of Birth:	mm/dd/yyyy
Male	Female
Last Name:
First Name:
Host Family Name:
Street:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Student email:
Host email:
Phone
Airline tickets are cheaper when booked ahead.
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Airport:
Indicate which trip(s) you are taking:
	ISE California Experience
	ISE Eastern Coast Experience
	ISE Hawaii 1
	ISE Hawaii 2
	ISE Hawaii 3
	ISE Hawaii 4
	ISE LA Experience
	ISE New York & Boston
	ISE New York Holiday
	ISE NYC Extended Weekend Tour
	ISE NYC Extended Weekend Tour 2
	ISE Western Tour
Please type the word now showing in the left box into the right box and hit submit:

Fax your credit card deposit to: 1-718-439-8565 or mail to MPD TOUR AMERICA,INC. 9101 Shore Road, #203 Brooklyn, NY 11209

---

Terms and Conditions

▪ The tour member & guardians agree to abide by all of ISE & MPD Tour America, Inc. policies & rules in order to ensure each participant’s safety, health, welfare & our smooth management of tours.

▪ Participants & guardians acknowledge that ISE or MPD Tour America may terminate any participant’s tour at its sole discretion. Tour termination may be caused by rule violations that ISE or MPD Tour America, Inc. deems to endanger anyone or impedes the success of the tour. In such a case the participant will be sent home at his or her own expense & there will be no refund whatsoever.

▪ All program participants are required to have medical coverage at the time of travel. ISE & MPD Tour America, Inc. do not assume any medical costs.

▪ ISE & MPD Tour America, Inc. reserve the right to cancel any program with insufficient participation, limit enrollment in any tour & make substitutions or alterations to the itinerary as necessary.

▪ ISE & MPD Tour America, Inc. may use photographs, videotapes or testimonials of participants for marketing purpose. Such use will be without remuneration.

▪ MPD Tour America, Inc. acts as an agent only & accepts no responsibility for loss, damage or injury resulting from delay or negligence of any company or vendor in the service of MPD Tour America, Inc.

▪ Responsibility Clause: MPD Tour America, Inc. its officers, directors, employees, shareholders, affiliates, subsidiaries & agents do not own or operate any entity which provides goods or services for your trip including, for example. lodging, transportation, meals, etc. As a result, MPD Tour America, Inc. is not liable for any third party not under its control. Without limiting the foregoing in any risks or resulting injury, delay, inconvenience, damages or death resulting from criminal activity, weather or other acts of God, accidents, illness, physical activities, strikes, political unrest, acts of terrorism, or other events beyond its control. Participants & guardians assume these risks.

▪ Participation in these tours constitutes specific consent for the tour member to take part in all tour activities, amusement park rides, as well as biking, rollerblading, surfing, canoeing, boating, sailing or other similar activities & to travel in public transportation & private leased or hired vehicles.

▪ Any dispute concerning this contract, the brochure, or any tour will be resolved exclusively though arbitration in the state of New York pursuant to the current rules of the American Arbitration Association.