Legal Name as it appears on ID
Name as you would like it to appear on your Nametag
Date of Birth
Address 1
Address 2
City
State
Zip
Home Number
Cell Phone Number
Email Address
Rooming with?
Do you wish to have a room near certain other Travelers?
Do you have any special requests (Ex. Diet)?
Referred by:
(Check one for each category) DoubleTripleQuadSingle 1 Bed2 Bed
PLEASE NOTE: We recommend the purchase of travel protection. This coverage protects you financially if you should have to cancel or interrupt your trip due to an unforeseen circumstance or if you need to seek medical attention while traveling. To determine the cost of protection per person, please see the brochure for the specific tour you are signing up for. Payment of protection premium at the time of deposit waives the ‘Pre-existing Conditions’ clause. Protection is not considered ‘Accepted’ until it is paid for. Please read through travel protection to better understand the coverage.
I accept Travel ProtectionI decline Travel Protection
To view policy/certificate for refund information go to www.tripmate.com/wpf428r
Our preferred method of payment is by check.
Final Payments Are Due: 30 days prior to departure for Motorcoach Tours 45 days prior to departure for Fly-Away Tours (Effective for tours departing after Jan. 1, 2024: 60 days prior to departure.) 90 days or more prior to departure for International Tours
Please call us if you have any questions. We’re here to help! 1(800)758-6877
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