Amazing Travels & Cruises, LLC.
DBA: Amazing Catholic Journeys
YOUR PERSONAL INFORMATION – ONE FORM PER PERSON________________________________________
FIRST NAME: ________________________________MIDDLE NAME: _________________________________
LAST NAME: _______________________________________________________________________________
(Names here must MATCH EXACTLY as it is in your passport. You will be responsible for any airline name change fees if any.)
PASSPORT NUMBER: ___________________________ EXP. DATE:____________DATE ISSUED: ____________
DATE OF BIRTH:______________________________CITIZENSHP: ____________________________________
CITY: _____________________________________ STATE:__________ ZIP CODE:_______________________
CELL PHONE: _______________________________ HOME PHONE: __________________________________
TOUR NAME ________________________________Please indicate TOUR DATES: _______________________
EMERGENCY CONTACT(S): Name(s): __________________________________ Phone: ___________________
Please check ROOM TYPE: DOUBLE TWIN BEDS TRIPLE SINGLE (with add-on cost):
NAME OF ROOMMATE(S) NAME YOU WISH TO HAVE ON YOUR NAME TAG:
DIET RESTRICTIONS/SPECIAL MEAL REQUEST VEGETARIAN NO RED MEAT
TRAVEL INSURANCE (Strongly Encouraged!) YES, send me a quote
NO, I decline Insurance
GROUP SHIRT YES, my size is SMALL MEDIUM LARGE
XLARGE XXLARGE XXXLARGE
Enclosed is a photocopy of my passport (inside page showing name and photo). This is mandatory!
PAYMENT BY CHECK (No Fees): Enclosed is my SECURITY DEPOSIT CHECK for:
$500 $1000, for Late Registration less than 120 Days/4 months prior to Departure Date;
All Deposits will be deducted from the Final Payment Due.
Make checks payable to: AMAZING TRAVELS & CRUISES, LLC and
mail to: 9819 Bay Island Dr., Tampa, FL 33615 USA
PAYMENT BY CREDIT CARD: By signing this form, I AUTHORIZE the amount below to be charged to my credit card. I have read and agreed the Terms & Conditions, including the penalties for cancellations or changes to this booking. Note: Airlines do not charge credit card (CC) fees, but Land Tours may be assessed credit card fees, depending on the Tour Operator used or the Credit Card Processing Company.
NAME ON CARD: VISA MASTERCARD AMEX DISCOVER
EXPIRATION DATE: _______________ SECURITY CODE _____
CARD NUMBER: AMOUNT TO BE CHARGED:
PRIVACY INFORMATION: All personal information will be kept confidential and will not be shared or given away.
This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content and make sure to add any relevant details or information that you want to share with your visitors.