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October 23 to November 4, 2011

Make check payable to, and mail reservation form and deposit to:

5435 E. Placita del Mesquite, Tucson, AZ 85712
(800) 566-9228

Please reserve ______ spaces.

I (We) have enclosed a deposit of $500 per person, for a total deposit of __________________________

Names of person/s traveling ____________________________________________________________
(For those traveling together, but having separate mailing addresses, please provide each address and telephone number.)

Address __________________________________________________________________________
City _____________________________________ State ____________ Zip ____________________
Home telephone __________________Business ___________________ Cell____________________
E-mail_________________________________________ Fax _______________________________

__ I am traveling alone and would like to share a room. If possible, please assign a roommate.
I understand that, in the event none is available, the single supplement of $473 will be charged
(if available, I would prefer a ___ smoking ___non-smoking roommate).

__ I would like to room alone and pay the additional charge of $473.

Travel Insured International___ I (We) have read and accept the policy of Deposits, Cancellations and Refunds and the Statements of Conditions and Responsibilities.

___ I (We) have been advised to purchase personal, medical, trip cancellation, trip interruption, emergency evacuation insurance by NobleJourneys / Joan Noble, Inc.

Signature ____________________________________________ Date ____________________

Signature ____________________________________________ Date ____________________

A parent or guardian must sign if the applicant is under 21 years of age.
Please make a copy of this completed form for your records.                                 01/17/2011




Please keep for your information

NOBLE JOURNEYS (NJ) & JOAN NOBLE INC. (JNI) organize, promote and sell travel programs and travel services that it purchases from other suppliers. The suppliers are independent contractors and are not agents or employees of NJ/ JNI. They supply services that include, but are not limited to, transportation, accommodations, meals, and excursions using local guides. While we endeavor to make travel arrangements with reputable suppliers, NJ/JNI is not responsible for the willful or negligent acts and/or omissions of such suppliers, their employees, agents, servants, or representatives, including, without limitation, their failure or inadequate delivery of services. All travel and arrangements are subject to the terms and conditions specified by the suppliers, air carriers and/or applicable governing laws. NJ/JNI and the suppliers providing transportation or any service can accept no responsibility for losses or additional expenses due to but not limited to delay, inconvenience, changes to or cancellation of itinerary, sickness, weather, strike, war, quarantine, terrorism, defects in vehicles, breakdown in equipment, any act, omission, negligence or other causes beyond their control. All such losses or expenses will be borne by the passenger, as tour rates provide for arrangements only for the time stated. NJ/JNI is not responsible for expenses incurred by trip members in preparing for the trip (i.e.: air tickets, visa/passport fees, equipment, medical expenses, individual transfers, etc.).

Assumption of Risk: I am voluntarily participating in the trip with knowledge that it involves some inherent risks and danger including, but not limited to, forces of nature, terrorism, civil unrest, strikes, wild animals, theft, cancellation or changes in itinerary, negligent action of others or their agencies, or means of conveyance or accommodation which may not be operated nor maintained to standards common in the United States. This includes health-related issues, and I am aware that medical services or facilities may not be readily available or accessible during all or part of my trip. This includes emergency medical care, presence of physicians, and adequate medication. It is the passenger’s responsibility to judge the appropriateness of the travel activities to their own physical capabilities. By forwarding the deposit, the passenger certifies they agree with these terms and conditions and that they do not have any mental, physical or other condition or disability that would create hazard for them or other passengers. NJ/JNI and its suppliers take no responsibility for special arrangements or problems incurred by passengers unable to participate in the planned activities. The right is reserved to decline any person as a member of the tour, or to require any participant to withdraw from the tour at any time.

Travel Insured InternationalINSURANCE: You must be covered by medical insurance that is valid overseas. We strongly recommend that you obtain travel insurance as well, including coverage for trip cancellation, loss and theft of baggage, and emergency evacuation. NJ/JNI cannot be responsible for these expenses. Noble Journeys recommends, but is not responsible for, policies through Travel Insured Interntional at www.travelinsured.com or (800) 243-3174. Our agency # is 46716.

Rates: Rates are based on tariffs, U.S. exchange rates and supplier fees in effect at the time of printing. We reserve the right to alter our prices. Individual transfers for those traveling independently are not included in the land cost unless otherwise stated. If the group falls below the minimum paying passenger requirement, the expedition is subject to cancellation or re-pricing.

Itinerary: NJ/JNI reserves the right to cancel or make changes in the published itinerary whenever, in its judgment, conditions warrant, without consulting the participants. Participants have no right to any refund or other considerations in the event of these itinerary changes. NJ/JNI reserves the right to cancel any tour before departure, in which case a full refund of all amounts paid to NJ/JNI will be made.

The supplier(s) for your trip can include, but is not limited to: VIA VENTURES, ANTIGUA, GUATEMALA. The above conditions and responsibilities also apply in full to the supplier(s), NJ/JNI and their representatives.

NJ/JNI may cancel the trip at any time; a full refund of payments sent to them will be returned to clients who paid. Final payment is due 45 days prior to departure. If client cancels in writing up to 60 days prior to departure, there is a full refund. If client cancels without written notification to NJ/JNI up to 60 days prior to departure, the deposit is forfeited. If client cancels in writing 59-46 days prior to departure, $350 will be deducted from the deposit to cover administrative costs. If client cancels 45 days or less prior to departure, there will be no refund. There are no refunds on any service/activity during trip which client chooses not to use.

Any controversy or claim arising out of or relating to this Agreement or the performance thereunder, including without limitation any claim related to bodily injury, property damage or death, shall be settled by binding arbitration in Tucson, AZ, in accordance with the rules of the American Arbitration Association and AZ law. This agreement to arbitrate does not waive or modify the liability relates contained in the foregoing paragraph.

 As a condition of acceptance each participant understands and has agreed to all information above and the following release of liability. I/We have carefully read the schedule of activities, requirements, the “Conditions and Responsibilities” provided by the brochure, and I/we are aware that the tour involves the risk of personal injury, death or loss (damage) to property. In consideration of the benefits derived by the trip, I/we voluntarily recognize and accept all risks thereof. I/we understand and agree on behalf of myself, my dependents, heirs, executors, and assigns, to release and hold harmless NJ/JNI and any of its officers, employees, agents, or representatives, from any and all claims, including but not limited to liability for delays, monetary damages, illness, injuries, death, or for the loss of or damage to property resulting directly or indirectly from any occurrences or conditions. I/we agree to abide by the conditions set forth under the “Conditions and Responsibilities” and other sections as stated herein or elsewhere published. I/we affirm that I/we are covered by medical insurance which is valid overseas. I/we affirm that I/we have not relied on any additional oral or written representation of NJ/JNI or their suppliers for executing this release. I/we further acknowledge receipt of this release and I/we understand and accept its terms and conditions. Any questions I/we had concerning this release have been answered to my full satisfaction.

Details as of 01/17/2011


JOAN NOBLE can be reached at    jungljoan@yahoo.com
(800) 566-9228  (520) 271-2011


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