printable reservation form - Untours

2014 UNTOUR RESERVATION FORM
Please mail completed registration form with
your deposit check or credit card info. to
Untours, 415 E. Jasper St., Media PA 19063.
Name:
___________________________________
Save time, complete the form online! At the
Untours website, you may complete your reservation
form and pay your deposit by credit card
through our secure server.
Visit www.untours.com/service
Client Number (if known): ____________________
Address: ____________________________________
City: _______________________________________
Telephone: _________________________________
Mobile: ____________________________________
State: ______________
Zip: ________________
Email: _____________________________________
Planned U.S. Departure Date: _________________ Planned U.S. Return Date: __________________
Untour Reserved:____________________________
Apartment Name: ___________________________
Apartment Arrival Date: ______________________
Apartment Departure Date: ___________________
Add’l Untour Reserved (if any): _______________
Apartment #2 Name: _________________________
Apartment #2 Arrival: ________________________
Apartment #2 Departure: _____________________
Enclosed is my deposit of $____________ for ____ person(s).
$400 per person for each one-week or two-week Untour. $200 per person for each additional oneweek
Untour add-on. (Three-week Sampler Untours: $600 per person deposit)
Check enclosed (make checks payable to Untours)
Please charge my credit card:
Visa Mastercard Discover
I authorize a charge of $_______________.
PAYMENT INFORMATION
Card Number: ___________________________________________________
Exp. Date __________________
Signature (required): ______________________________________
1-888-868-6871
email: travel@untours.com
How did you hear about Untours? ________________________________________________________
If referred, please tell us the name, city
and state of the person(s) who referred you : _____________________________________________
Over ->

We will make our own flight arrangements.
UNTOUR FLIGHT ARRANGEMENTS
(Please check just one)
Please send flight proposal with departure from _________________ airport,
departing on ____/_____/_____ (mm/dd/yy) and returning to the U.S. on ____/_____/_____ (mm/dd/yy)
(Most flight proposals require instant purchase and are non-refundable.)
UNTOUR PARTICIPANTS
UNTOURIST 1
Name (first, middle, last) as it appears on Passport
(essential for air and rail ticketing):
_________________________________________________
Address (if different than reservation form):
_________________________________________________
Date of Birth _______________ Sex(circle one): M F
Please list any health restrictions: ____________________
UNTOURIST 2
Name (first, middle, last) as it appears on Passport
(essential for air and rail ticketing):
_________________________________________________
Address (if different than reservation form):
_________________________________________________
Date of Birth _______________ Sex(circle one): M F
Please list any health restrictions: ____________________
More than 2 participants? Please list names on an additional sheet.
FINANCIAL AGREEMENTS:
All payments must be made by credit card, check or money order, in U.S. dollars. Foreign checks or money orders drawn
on banks which do not have a U.S. branch are subject to a $10 per check surcharge. For Untourists residing outside of the
U.S., a postage surcharge of $15 will apply.
PAYMENTS:
Deposits: $400 per person for each Untour ($600 per person for three-week Sampler Untours). $200 per person for each
additional week.
Final Payment: Balance is due 70 days before departure. Changes within 45 days of departure may be subject to fees.
CANCELLATION:
If Untours is notified more than 70 days prior to arrival in the first apartment,
the following will be forfeited: $250 of each of your $400 deposits, $350 of $600 deposits, and half of any $200 deposits
paid for one-week add-ons. If Untours has issued tickets on flights approved by you, your entire deposit will be forfeited.
If Untours is notified 70 days or less and 35 days or more prior to arrival in the first apartment, the
following will be forfeited:$250 of each of your $400 deposits, $350 of $600 deposits, and half of any $200 deposits paid
for one-week add-ons; cancellation and service fees for any flight tickets, transportation passes or rail tickets purchased
for you by Untours; and 25 percent of the Ground Only Untour fee including any apartment supplements. If you cancel 70-
35 days prior to arrival in the first apartment, but have not paid in full, Untours will keep your deposit until payment is
made as described above.
If Untours is notified 34 days or less and 3 days or more before arrival, the following will be forfeited: $250
of each of your $400 deposits, $350 of $600 deposits, and half of any $200 deposits paid for one-week add-ons; cancellation
and serice fees for any flight tickets, transportation passes or rail tickets purchased for you by Untours; and 50
percent of the Ground Only Untour fee including any apartment supplements. If you cancel 34-3 days prior to arrival in the
first apartment, but have not paid in full, Untours will keep your deposit until payment is made as described above.
If Untours is notified of a cancellation 2 days or less before arrival, all trip costs are non-refundable.
• Purchase of trip cancellation insurance is recommended.