PASSENGER REGISTRATION FORM - PASSPORT & …



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PASSENGER REGISTRATION - PRINT NAME AS IT APPEAR ON PASSPORT

Mr./Mrs./Ms LAST NAME                   FIRST NAME              MIDDLE INITIAL

                                                                                                                                 

Address                                                   City/State/Zip                                                         

Telephone :                   Cell :                           E-mail:                

 

Passport Number:                                Expiration Date: (MM/DD/YYYY)          

 

Date of Birth: M/DD/YYYY)            Nationality: ______            

 

EMERGENCY CONTACT INFORMATION:

Name:                                                                 Relationship                     

Telephone:                                                           E-mail:   ___                                            

Roommate Name:                                                                                                                 

• insurance rates subject to change*

Yes, add travel protection insurance * $89.00 interior  109.00 balcony

No, I am declining travel insurance

Yes, I have read and understand the terms & conditions of this tour

Yes, 1 night Pre New York - 1 night Post New York

Yes, 2 nights Pre New York - 2 nights Post New York

yes, send air cost from SFO LAX TPA ATL OTHER CITY _____________

(CHECK YOUR CATEGORY BELOW

| Deluxe Balcony Staterooms (A2) $1679.00 |248 sq. ft.* |

| Premium Balcony Staterooms (B3) $1325.00 |269 sq. ft.* |

| Standard Ocean view (C1) $1299.00 |194 sq. ft. |

| Standard Inside (D5) $1049.00 |155 sq. ft. |

Payment Information: Initial Deposit $200.00 due 20Aug07 2nd Payment $300 due 20Oct07 Final payment due 20Dec07

Cruise Total per person $__________________Payment Amount $__________

Deposit  Full Payment Check #______  credit card complete form on back page, or

PAY ONLINE: WWW.EXITUS- (click pay online buy now) register not required.

Return form to ExitUs Travel Services with your payment.  Make Checks payable to ExitUs Travel Trust - ExitUs Travel Services - 10006 Cross Creek Blvd. #460, Tampa, FL 33647-2595. 1-888-239-4887 - TAMPA 813-929-3373 – FAX – 813-994-9814

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APPROVAL FOR USE OF CREDIT CARD

PAY ONLINE: WWW.EXITUS- (click pay online buy now) register not required.

Please complete the Credit Card Payment Form below and fax back to 1-813-994-9814

I, (We)_________________________________________________________________________

Hereby authorize ExitUs Travel Services or its elected Tour Company Supplier to charge M y

Credit card account listed below. I (we) agree that I will pay for all such purchases and will

Not hold ExitUs Travel Services or its elected Tour Company Supplier responsible for any of

its actions pursuant to signature authorization. By signing the authorization form I (we) also

Waive and relinquish any and all right to charge back items against the credit card.

• The cardholder must sign this form in order for the charge to be processed.

• I have read and I understand the terms and conditions.

• I have reviewed my itinerary and I verify that all information is accurate.

• If any information is incorrect, including but not limited to passport name, travel dates and city of departure, I understand that penalties, travel delays or cancellations may apply should any corrections need to be made after paid in full. Please call 1-888-239-4887 prior to submitting this form to make corrections.

• I understand it is my responsibility to obtain the necessary documents for travel including passports and visas.

• I accept and agree to adhere to the terms and conditions of this transaction.

I (we) wish to make the following charge on my credit card: (please circle the card type)

□Visa □Mastercard □American Express □Discover

Deposit/Payment amount $_________________ Full Payment $_________________________

Print name as appear on credit card________________________________________________

Credit card number _____________________________________________________________

3 OR 4 digit security__________Expiration Date______ (month)________(year)

Signature of Cardmember_______________________________________________________

(Signature) Must match name on card, no third party billing

Billing Address:_________________________City ____________State_____Zip___________

I have been advised of and chosen to ___ACCEPT ___DECLINE ETS travel insurance. Please note that if you did not book insurance when you submitted your request an additional amount will be due should you wish to add it to your reservation.

Signature Here: _______________________________________Date Signed:____/____/_____

(□ Please return this approval form to ExitUs Travel Services-10006 Cross Creek Blvd. #460- Tampa Florida 33647-2595- FAX – 813-994-9814 - CST#2032660-40

   

.  KEEP below terms and conditions for your files

 

EXITUS TRAVEL TERMS AND CONDITIONS

Proof of citizenship is required. A Valid Passport with 6 months remaining from date of return. ExitUs travel is not responsible for documentation, immigrations, or inoculations. Cancellation Policy: Notice of all cancellations must be in writing and received by ExitUs Travel Services no later than 60 days prior to departure. A signed and completed registration form must accompany the initial deposit payment, and received by ExitUs Travel Services. Whether you sign the form or not, you are fully responsible for complying with all the terms and conditions of this travel package.

California law requires certain sellers of travel to have a trust account or bond.  This business has a trust account, and is required to deposit 100% of all customer funds into a business client trust account. All checks are to be made payable to ExitUs Travel Trust. Additional Tour Operator/Cruise Company terms and conditions may apply. ExitUs Travel Services do not mail payment receipts. Your cancelled check, copy of your money order/cashier check, or credit card statement, is your receipt and the best proof of payment. Travel documents and electronic air tickets will be mailed or delivered 2-3 weeks prior to departure provided the vacation invoice has been paid in full.

BOOKINGS AND PAYMENTS

All that is required to reserve your vacation is a signed registration and deposit of $200.00 person for groups.

This tour and its prices are based on a group minimum of 20 persons traveling together. Rates are subject to change if the group falls below minimum. All rates quoted are per person. The balance due must be paid at least 90 days before departure. We reserve the right to treat the booking as cancelled by you if the balance due is not paid on time. This vacation package is land/cruise only and does not include air. Late bookings often require us to incur additional costs for faxing, updating and confirming your hotel accommodations. Therefore, we will charge a late booking fee of $50 per person, in addition to the normal price on all vacations booked 90 days or less prior to departure, at which time the total must be paid in full. Credit Cards are subject not to be accepted 89 days are less prior to departure date. All checks and money orders must be payable to ExitUs Travel Trust. Note: All rates are subject to change prior to confirmation. All space is based on availability.

AMENDMENTS AND CANCELLATIONS

If you cancel your vacation, the charges shown below become payable by you. Significant additional penalties (i.e. non-refundable airline tickets and fees, non-refundable or non-transferable hotel promotions) may apply. All amendments and cancellations must be made in writing. Payments are non transferable. Return check fee $45.00, late payment fee $50.00. Booking change fee $50.00 per change. Initial deposits are non refundable. Notice received by ExitUs Travel days in advance of departure, 120-91 days prior to departure $200.00, 90-61 days prior to departure, 25%, 60-31 days prior to departure 50%, 30-15 days prior to departure 75%, 14 days or less 100%. All percentages are total charges of cost of cruise.

At time of guarantee you may purchase the Travel Protection Insurance at $89.00 inside, $109.00 ocean view per person to cover your cancellation charges, including the non refundable deposit. This rate is subject to change. The Travel Protection Security Plan does not cover airline tickets, applicable scheduled airline penalties and fees or non-refundable tickets. ExitUs Travel &Tour Companies reserves the right to substitute alternates and any portion of the tour vacation if necessary. ExitUs Travel Services reserves the right to re-invoice charges if we have displayed the incorrect amounts. Visit the Cruise Lines website or ExitUs Travel website for additional terms and conditions.

DEPOSIT/PAYMENT INFORMATION

$200.00 Non Refundable Deposit August 20, 2007

$300.00 2nd payment October 20, 2007

Final Payment December 20, 2007

  

 

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