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Please fully complete the
following application in order to register for one of our
many wonderful trips.
You may also complete this form and
mail or fax (631-361-3682) it to our office.
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Reservation Made By |
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TOUR
INFORMATION |
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Group |
Beloved Community Trip to
Egypt & Israel |
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Departure Date |
November
13-24, 2008 |
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PASSENGER(s)
INFORMATION (Names MUST Be Exact Match to Your Passport) |
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Address |
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Address 2 |
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City, State, Zip Code |
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Country |
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Home Phone |
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Work/Cell Phone |
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Fax |
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E-Mail(s) |
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EMERGENCY
CONTACT |
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Name |
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Phone |
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REGISTRATION
OPTIONS |
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Land Only |
I
am registering for Land Only $2,495
(arrival/departure transfers not included) |
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Departure City |
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Accommodations |
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Accommodations |
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Roommate Request |
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Travel
Insurance |
I DECLINE Travel Insurance
Travel Insurance will
automatically be billed unless you decline coverage at the
time of registering. ($165/$225
premium amount based on total trip costs) |
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SPECIAL REQUESTS |
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Seat Request |
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Meal Request |
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Wheelchair Request |
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Other Needs |
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ADDITIONAL COMMENTS OR INFORMATION :::
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PAYMENT
INFORMATION |
A $565 per person non-refundable deposit is
due at the time of booking. Payment in full is required at
the time of booking if you are registering with in 60 days
of departure.
A $50 late booking fee is
applied for bookings made with in 30 days of departure.
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I
wish to make my Instant payment from my Checking Account
(Automated Clearing House)
I
wish to make a direct credit card payment
(only possible if more than 60 days prior to departure)
Name on Credit Card
Type of Card
Visa
Master
Card
American
Express
Discover
Card Number
Exp. Date
Sec.Code
Please automatically charge the balance
of my trip
costs 60 - 70 days prior to departure
Charge total trip costs
now (REQUIRED IF
BOOKING WITH IN 60 DAYS OF DEPARTURE)
I
wish to pay For My Trip With
PayPal
(can be done
at any time)
*Paypal
payments must be made to account: info@206tours.com
I
wish to make my payment via Check or Money Order. I will
send my payment by mail.
If paying by check mail to:
206 Tours, 289 East
Main Street. Smithtown NY 11787-2807
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Enrollment in and/or payment for
any 206 Tours trip or service constitutes
your unconditional acceptance of
all applicable
Terms &
Conditions.
Initial Here to agree to all Terms &
Conditions
You may also print this form,
complete it and fax it to us at (631) 361-3682
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