REFUND ACKNOWLEDGEMENT

For your protection as well as ours, we will need the following information as acknowledgement of refund received.

Client Name______Home Phone______

Address______Work Phone______

I hereby acknowledge that I received a CASH REFUND in the AMOUNT of $185.00 on DECEMBER 31, 2001. I hereby acknowledge that a NONREFUNDABLE PROCESSING FEE of $15.00 was withheld from original amount of payment. I hereby release DREAM DESTINATIONS TRAVEL from any further matters relating to this ticket.

Signature of Acknowledgement______Today’s Date______

Cancellation Policy: Airline Ticket: $258.50 Processing Fee: $ 15.00 Total Due: $273.50 Amount Paid: $200.00 Less Processing Fee: - $ 15.00 Refund Received: $185.00

Dream Destinations Travel & Tours 123 Main St. Iowa Falls, IA 50126 Phone/Fax: 422-448-6928Toll Free: 877-998-5555