206 Tours General Reservation Application

A $400 per person deposit is due at the time of booking. The balance of your trips costs will be due 60 days prior to departure.

Please note a late booking fee of $50 will be added to reservations made with in 30 days of the departure date.

Reservation Made By

TOUR INFORMATION

206 Tour # (if known)		Group Name
Destination		Departure Date

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

Address

Address 2

City

State

Zip Code

Country

Home Phone

Cell Phone

Work Phone

Fax

E-Mail(s)

EMERGENCY CONTACT

Name (first + last)

Relationship

Cell Phone

E-mail

REGISTRATION OPTIONS

Land Only *

I am registering for Land Only (arrival/departure transfers not included)

Departure City

Business Class

Accommodations

Roommate Request

Travel Insurance

Travel Insurance will automatically be billed ($129 -$229 premium amount determined by total trip costs) unless you decline coverage

at the time of registering as per www.206tours.com/insurance. Initial here to decline Travel Insurance --->

If you Purchase the Travelers Insurance, you may also choose to add the following optional additional Insurance coverage...

Cancel for Any Reason Protection Plan

I want to purchase the Cancel for Any Reason Protection Plan @$199 additional as per

www.206tours.com/cancellationprotection (additional $199, must be purchased with the Travel Insurance at the time of booking)

SPECIAL REQUESTS

Seat Request

Meal Request

Wheelchair Request

Other Needs

Additional Comments or Information

PAYMENT INFORMATION

Name(s) of passengers (Last / First , Middle)

DOB (mm/dd/yy)

Passport #

Exp. Date

Nickname

206 VIP Club #

I wish to make my Instant payment from my Checking Account (Automated Clearing House)

Your Bank Routing Number
Your Account Number
Amount

I wish to make a direct credit card payment
Name on Credit Card Type of Card

Card Number Exp. Date (mm/yy) CID Code

Payment Option:

I wish to pay For My Trip With PayPal click here (www.206tours.com/paypal)

I wish to make my payment via Check or Money Order. Please send payments to: 206 Tours, 333 Marcus Blvd, Hauppauge, NY 11788

OTHER OPTIONS

Optional, Go Green with paperless invoices and final documents! (information will be sent via e-mail)

Click here if you DO NOT want to receive any specials and offers updates

Enrollment in and/or payment for any 206 Tours trip or service constitutes your unconditional acceptance of all Terms & Conditions.

Initial Here to agree to all Terms & Conditions

You may also complete this form (click here for a printable version) and mail or fax (631-361-3682) it to our office.

*** if you experience any difficulties or errors when submitting your request you may want to try and add our website to

your "trusted sites" list, as that usually fixes submission errors ***