Registration Form - The Grand Tour

Patron - Registration Form

Facebook

This field is for validation purposes and should be left unchanged.

Tour Sponsor / Destination:(Required)

1) Traveler Information

Full Name: (as on passport)(Required)

Passport #

Exp. date

DOB(Required)

Nationality(Required)

T2 Full Name: (as on passport)

T2 Passport #

T2 Exp. date

T2 DOB

T2 Nationality

Address(Required)

Address Address Line 2 City State Zip Country

Tel. 1

Tel. 1(Required)

Email 1

Email 1(Required)

Tel. 2

Tel. 2

Email 2

Email 2

2) Accommodations (Required for single travelers)

Accommodations

I have selected a roommate whose name is:

(Registration form to be sent separately)

Roommate Name:

Choice 2:

I wish to have a single room

Choice 3

I would like a roommate but will pay the single supplement if one is not available

3) Emergency Contact (Required: someone who is not traveling with you on the trip)

Name:

Name:(Required)

Phone:

Phone:(Required)

Relationship:

Relationship:(Required)

Email:

Email:(Required)

4) Travel Insurance

Company:

Company:

Policy #:

Policy #:

No Insurance Chosen

I have chosen not to carry travel insurance

5) Acknowledgment and Signatures (Required)

By signing below, I/We acknowledge that:(Required)

I/We have read and agree to the Passenger Terms and Conditions contract.

By signing below, I/We acknowledge that:(Required)

I acknowledge the cancellation policy and understand that $500 of the deposit is non-refundable.

By signing below, I/We acknowledge that:(Required)

I understand travel insurance is strongly recommended.

Traveler 1 signature:

T1 Signature(Required)

Date:

Date(Required)

Traveler 2 signature:
(if applicable)

T2 Signature

Date:

Date