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. 

Reservation Made By

TOUR INFORMATION

PASSENGER INFORMATION (Names MUST Be Exact Match to Your Passport)

Title

First Name

Middle Name

Last Name

I prefer to be called

Birthday (MM/DD/YY)

Address

Address 2

City, State, Zip Code

Country

Home Phone

Work/Cell Phone

Fax

E-Mail

Passport #

EMERGENCY CONTACT

REGISTRATION OPTIONS

   I DECLINE Travel Insurance

Travel Insurance will automatically be billed unless you decline coverage at the time of registering. ($99 -$225 premium amount based on total trip costs)

SPECIAL REQUESTS

:::  ADDITIONAL COMMENTS OR INFORMATION  :::

PAYMENT INFORMATION

A $400 per person 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.

 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

       Deposit Only * Options (Only * if registering more than 60 days prior to the trip departure date)       

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