TenTATive iTinerArY FOr AlASKA cruiSe - Senior Tours Canada
TenTATive iTinerArY FOr AlASKA cruiSe - Senior Tours Canada
TenTATive iTinerArY FOr AlASKA cruiSe - Senior Tours Canada
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✄ ✄<br />
✄<br />
reGiSTrATiOn <strong>FOr</strong>m<br />
Tour Destination _______________________________________________________<br />
Departure Date __________________________ Total Cost $___________________<br />
Full name (as is on your passport) Name you like to be called<br />
(for your name badge)<br />
Traveller #1 ____________________________________ _____________________<br />
Traveller #2 ____________________________________ _____________________<br />
(spouse only, if applicable)<br />
Date of birth ... Traveller #1 ___________________ Traveller #2 ___________________<br />
Address ________________________________________________________________<br />
Telephone Number________________________Email___________________________<br />
Name of your partner (if not a spouse) _________________________________________<br />
Passport # (if applicable). Traveller #1 ________________ Traveller #2 ________________<br />
Expiry date. Traveller #1 ________________ Traveller #2 ________________<br />
Nationality. Traveller #1 ________________ Traveller #2 ________________<br />
If you wish to decline our comprehensive insurance plan (see Page 1), or to be covered only<br />
for cancellation prior to the tour, the rebate amount will be advised by your Tour Consultant.)<br />
Put an “X” here if you wish to decline our comprehensive insurance policy<br />
or here if you wish to be covered only for cancellation prior to the tour<br />
Special requests ________________________________________________________<br />
_______________________________________________________________________<br />
I enclose a cheque for $__________________ payable to <strong>Senior</strong> <strong>Tours</strong> <strong>Canada</strong><br />
Make all payments by cheque, by final payment due date, deduct $50 person.<br />
or please charge $_____________ to my Visa<br />
Mastercard<br />
Card # __________________________________ Expiry Date _____________<br />
For final payment I will send a cheque in before the balance due date<br />
or Please charge the above credit card on the final<br />
payment due date for the balance owing<br />
Signature ________________________________ Today’s Date __________________<br />
For those paying by credit card: I understand that signing above is the equivalent of signing an actual credit card sales slip.
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