Ukraine Discover Your Roots
Reservation Form

Use this convenient online form to reserve your trip. Indicate your Full Name as indicated in your passport. For example Michael instead of Mike or Anastasia instead of Stacey.

Required information. *

Full Name (as in iyour passport) *
Street Address
City/Town
Province (or State)
Postal/Zip Code
Country
Home Phone No.
Work Phone No.
FAX No.
E-Mail Address *
Choose a preferred contact method: Phone Fax E-mail
Rooming & Travel Arrangements Preferred Rooming Arrangements (choose either A or B)
A.  Please assign me a room with this person:
B.  Please assign me :	Choose one of these rooming arrangements: A female roommate A male roommate My own room and apply any single supplement fees
Roommates will be matched on the basis of age, gender and smoking preference If choosing to be assigned a roommate, please indicate if you are a smoker or a non smoker by typing YES or NO here:
If choosing to be assigned a roommate, please indicate in which age bracket you fall: 20's 30's 40's 50's other other please specify
ARCHIVAL VISITS I wish to visit the archives at LVIV IVAN FRANKIVSK TERNOPIL KYIV
Please type YES or No for your Archive visit: I will need a translator
ANCESTRAL SIDE TRIPS I will be making side trips from LVIV IVAN FRANKIVSK TERNOPIL KYIV To the Villages of
Please type YES or No for your side trip(s): I will need a car with driver I will need a car I will need a translator or preferably a driver/translator
Do you have any questions or comments?
Bloor Travel Agency Limited 2336A Bloor St. West Suite 200 Toronto ON M6S 1P3 bloortravel@on.aibn.com
We are currently negotiating the costs for the tour and will have the details very shortly. We will post the particulars as soon as we get them. Part of the process is knowing how many are interested in participating in the tour. Knowing how many are interested will affect the overall costs. A detailed itenerary will be posted on this site. In the interim here is a tentative itinerary. I wish to reserve my space at this time.
If you have any difficulty using this form, please contact us You may wish to retain a copy of this form. Print this page by clicking the "Print This Form" button. You can also print a blank copy of this form to do your rough work on. Plus, you can snail mail it to: Bloor Travel Agency Limited 2336A Bloor St. West Suite 200 Toronto ON M6S 1P3 Back to Trip To Ukraine Page