Reservation Application
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
I wish to joining the Optional Scavi Tour (additional $20 per person)
I wish to joining the Optional Pauline Rome Tour (additional $75 per person)
PASSENGER(s) INFORMATION (Names MUST Be Exact Match to Your Passport)
1.
2.
Address
Address 2
City, State, Zip Code
Country
Home Phone
Work/Cell Phone
Fax
E-Mail(s)
EMERGENCY CONTACT
REGISTRATION OPTIONS
I DECLINE Travel Insurance
Travel Insurance will automatically be billed unless you decline coverage at the time of registering. ($129 -$225 premium amount based on total trip costs)
SPECIAL REQUESTS
::: ADDITIONAL COMMENTS OR INFORMATION :::
PAYMENT INFORMATION
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 none Visa Master Card American Express Discover Card Card Number CID Code
Expiration Date (mm/yy)
Charge the Deposit Now (Only * if registering more than 60 days prior to the trip departure date)
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.
Please send payments to: 206 Tours, 333 Marcus Blvd, Hauppauge, NY 11788
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
Optional, Go Green with paperless invoices and final documents! (information will be sent via e-mail)
You may also print this form, complete it and fax it to us at (631) 361-3682
*** 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 ***