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 Reservation Application

Please fully complete the following application in order to register for the trip. 

You may also complete this form and mail it to our office. 

 

Reservation Made By

    

TOUR INFORMATION

 Group     Seven Seas Voyages
Destination     Pilgrimage to Spain & Portugal with Fr. Timothy Joyce, OSB
 Travel Dates     April 28-May 8, 2010
   

PASSENGER(s) INFORMATION (Names MUST Be Exact Match to Your Passport)
Name(s) of passengers (Last / First , Middle) DOB (mm/dd/yy) Passport # Nickname

1.

2.
3.
4.

Address

    

Address 2

   

City, State, Zip Code

    

Country

   

Home Phone

    

Work/Cell Phone

   

Fax

   

E-Mail(s)

    

EMERGENCY CONTACT
Name (Relationship)   
Phone   

REGISTRATION OPTIONS
Land Only *    I am registering for Land Only * (arrival/departure transfers not included)
Departure City     Boston (Please call for pricing from other departure cities)
Accommodations    
Roommate Request    
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)

SPECIAL REQUESTS
Seat Request   
Meal Request   
Wheelchair Request   
Other Needs   

:::  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)

Your Bank Routing Number
Your Account Number 
Amount  

 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                    
 
       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 make my payment via Check or Money Order. I will send my payment by mail.

         Please send payments to: Seven Seas Voyages, PO Box 212, Melvin Village, NH 03850

 

 

Enrollment in and/or payment for any Seven Seas Voyages 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)

 

 

  

 

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You may also print this form, complete it and mail it

 

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