CLASS ONE TRAVEL, inc.
Wellness Tour
WELLNESS TOUR PACKAGE APPLICATION
【NAME】
【ADDRESS １】
【ADDRESS ２】
【TELEPHONE】DAY：
NIGHT：
【FAX】
【EMAIL ADDRESS】
【GENDER】
MALE
FEMALE
【BIRTHDAY】
month
day
year
We will try our best to accommodate your request. Please indicate your desired date and time below.
【The First choice】
month
1
2
3
4
5
6
7
8
9
10
11
12
day
1
2
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14
15
16
17
18
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20
21
22
23
24
25
26
27
28
29
30
31
year
2007
2008
time
9
10
11
12
13
14
15
16
17
【The Second choice】
month
1
2
3
4
5
6
7
8
9
10
11
12
day
1
2
3
4
5
6
7
8
9
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2007
2008
time
9
10
11
12
13
14
15
16
17
【The Third choice】
month
1
2
3
4
5
6
7
8
9
10
11
12
day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2007
2008
time
9
10
11
12
13
14
15
16
17
How can we contact you?
Tel:Office
Tel:Home
FAX
Email
【Questions?】
