Marklin Factory Tour Reservation Form

Passenger Name (as it appears on Passport): ________________________________________________________________________

Address:________________________________________________________________

City: ________________________ State:____________Zip:_______________________

Home Phone:______________________Bus. Phone:_____________________________

Email:__________________________________________________________________

Enclosed is my Check of $:___________($600.00 per person) Payable to R. Plaszewski

I have read and agree to the terms and conditions outlined in this advertisement:

Signature of Passenger:_____________________________________________________

Please return this form and payment to: R.Plaszewski, 122 N. Main St., Elburn, IL 60119