Moostash Joe Tours
PO Box 969
Fremont, NE 68026-0969

If you have questions, please call us at 1-800-806-7944 or 402-721-7944 or e-mail us at Mail@MJTours.com.

The form will print off as Two pages. Please double check.

Please, only one tour per reservation form. To make reservations for additional tours, please print off this form again and fill in a separate order.

Moostash Joe Tours Responsibility: Moostash Joe Tours acts as agent for the passenger and other tour companies it represents. The above companies accept no responsibility for any loss, injury, or damage in respect to any person or property however caused. Moostash Joe Tours can accept no responsibility for losses or additional expense due to delays or changes in bus or other type service due to sickness, weather, strikes or any other extraordinary conditions. All such losses or expenses will have to be borne by the passenger. Moostash Joe Tours reserves the right to accept or withdraw any tour if circumstances demand it. The above company also reserves the right to vary itineraries or substitute facilities of equal or better value, if deemed necessary; and reserves the right to retain or decline membership to any person in this tour either before or during the trip. Expenses incurred to return home from the tour will be the responsibility of the individual. Application for reservation on a tour indicates full acceptance of the foregoing conditions.

Name of Tour:
Departure Date of Tour:
	Total Deposit Amount Enclosed: $                                                                   ($50.00 Per Person)
___Check here if Senior Discount (55 and over) applies to you.
Please Make Check Payable to: Moostash Joe Tours
Mr.___ Mrs.___Ms.___ (Please Print Full Legal Name)
Mr.___ Mrs.___ Ms.___ (Please Print Full Legal Name)
Address:
City:                                     State:                  Zip:
Phone:
I will room with: (if other than spouse) (Note: If Roommate is other than Spouse, Roommate will need to fill out another form.)
Name(s) of other(s) you are traveling with:
___I desire single room accommodations at the single occupancy price.
Smoking Preference: ___Non-Smoking ___Smoking
Pick Up Location: (Please Circle One)   Omaha     Fremont     Lincoln     Norfolk