Holland Windmills, Waterways & Tulips River Cruise - Arcadia Travelers presents 11 Days April 2, 2019
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Exclusive Charter
Arcadia Travelers presents
Holland Windmills, Waterways & Tulips River Cruise
featuring Amsterdam, 2 Nights in a Dutch Village & 7 Nights aboard the Amadeus Star
11 Days April 2, 2019
Booking Discount - Save $200 per couple!
Holland Windmills, Waterways & Tulips River Cruise
11 Days April 2-12, 2019 Ship - MS Amadeus Star
Day 1 Depart US - Overnight Flight
Day 2 Arrive Amsterdam
Meet your PWD Tour/Cruise Manager
Transfer to Valkenburg, the Netherlands for a 2-Night Dutch Village stay
Welcome Dinner at the hotel Overnight - Valkenburg
Day 3 Three Country Tour - Germany, Belgium & the Netherlands
Three Country Tour - Visit Monschau, Germany, the Henri Chapelle Cemetery
in Belgium & Maastricht, the Netherlands
Evening at leisure in Valkenburg
Meals - B Overnight - Valkenburg
Day 4 Valkenburg - Amsterdam Touring - Board MS Amadeus Star
Morning visit the windmill filled Dutch Village of Zaanse Schans
Afternoon Amsterdam City Tour & Canal Cruise
Board the MS Amadeus Star for 7 nights - Welcome Dinner Onboard
Meals - B & D Overnight - MS Amadeus Star Cities & Ports
Day 5 Amsterdam Valkenburg
Day at leisure in Amsterdam - Optional to North Holland (Volendam & Edam) Enjoy 2-nights in Valkenburg, a traditional Dutch village along the banks of the Geul River,
Meals - B,L,S & D Overnight - MS Amadeus Star just 8 miles east of Maastricht. The village was so famous for its beauty and wealth that
it had been fought over for hundreds of years. From here enjoy a Three Country Tour
Day 6 Arnhem featuring Monschau, Germany, the Henri Chapelle Cemetery in Belgium & the oldest
Morning Arnhem City Tour & the Open Air Museum town in the Netherlands, Maastricht.
Afternoon at Leisure - Optional to ‘The Bridge of Arnhem’ & Airborne Museum
Amsterdam
Meals - B,L,S & D Overnight - MS Amadeus Star Board your cruise ship in Amsterdam, the “Venice of the North.” Founded as a small
Day 7 Cruising - Middelburg fishing village in the late 12th century, Amsterdam became one of the most important
ports in the world during the Dutch Golden Age. Today, the city has one of the largest
Morning Cruising the Waterways historic centers in Europe with about 7,500 registered historic buildings & 90 islands,
Afternoon Middelburg Walking Tour linked by 400 bridges. Enjoy a Amsterdam City Tour & Canal Cruise featuring visits to
Meals - B,L,S & D Overnight - MS Amadeus Star iconic Dam Square, the Flower Market & a cruise by beautiful homes through the intri-
cate canal system. Just outside of Amsterdam visit the famous village of Zaanse Schans
Day 8 Ghent - Bruges featuring windmills, wooden shoes & historical buildings.
Morning Ghent City Tour
Afternoon Bruges City Tour Arnhem
Arrive in Arnhem, known for the World War II battle operation ‘Market Garden’. Enjoy
Meals - B,L,S & D Overnight - MS Amadeus Star an Arnhem City Tour & the Open Air Museum. Drive through Arnhem and past many
Day 9 Antwerp spots associated with the WW II battle. Later visit to the Open Air Museum, located in a
wooded setting featuring 80 historic houses, farmhouses and mills portraying how the
Morning Antwerp City Tour Dutch people lived from 1700-1970. Maybe join an afternoon optional to ‘The Bridge
Afternoon at Leisure - Optional Brussels City Tour of Arnhem’ & Airborne Museum where over 4,000 British, German and Polish soldiers,
Gala Farewell Dinner Onboard as well as Dutch civilians lost their lives during the WWII battle.
Meals - B,L,S & D Overnight - MS Amadeus Star
Middelburg
Day 10 Rotterdam After a morning spent cruising the waterways, arrive in Middelburg, the capital of the
Morning Rotterdam City Tour province of Zeeland. Enjoy a Middelburg Walking Tour to see the abbey, the town hall,
splendid old warehouses & some of the 1,100 monuments that dot the city marking its
Afternoon Keukenhof Flower Gardens rich past. Several original windmills still stand on the outskirts of town.
Evening Departure & Cruising from Rotterdam - Dinner Onboard
Meals - B,L,S & D Overnight - MS Amadeus Star Ghent
Cross the border into Belgium to arrive in Ghent, home to the beautiful St. Bavo Cathe-
Day 11 Amsterdam - Flights Home dral and the famous Ghent Altarpiece. During your Ghent City Tour walk through the
Disembark Amsterdam & Transfer to the Amsterdam Airport or Paris Extension beautiful city center and see the belfry, a medieval bell tower with 54 bells. Also see the
Meal - B fortress Gravensteen, built in the 12th century and one of Europe’s largest moated castles.
Bruges
B - Breakfast • L - Lunch • D - Dinner Onboard w/ Regional Wines Enjoy a Bruges City Tour, one of Europe’s great cities and like Amsterdam also referred to
S - Snacks Onboard afternoon and/or evening as the ‘Venice of the North’ due to its canal system. Bruges could have sprung from the
pages of a Gothic fairy-tale with cobbled streets, spidery canals and medieval churches
remarkably well-preserved, having been spared the devastation that saw much of Belgium
Optional 2-Night Paris Post Cruise Extension leveled during both World Wars. The historic marketplace and center of old Bruges is
$895 pp dbl +$400 single supplement cradled by the Reie River and was recognized as cultural world heritage site by UNESCO.
Day 11/April 12 Amsterdam - Paris Antwerp
Travel to Paris for a 2-Night stay in “the City of Lights” Awake in and discover the beautiful port city of Antwerp. Enjoy an Antwerp City Tour
featuring a walk through the attractive old city center and visit to the Onze-Lieve-Vrouwe
Afternoon arrival at hotel - Evening Dinner Cathedral, the largest Gothic church in Belgium. The church contains valuable treasures
Meals - B (on ship) & D Overnight - Paris such as works by the famous Baroque artist Rubens and wall paintings dating to the 15th
century. The city is also well known for its diamond trade and lively shopping scene. An
Day 12/April 13 Paris Optional to Brussels, famous for its central square, the Grote Markt, will be available.
Morning Paris City Tour - see Notre Dame Cathedral, Arc de Triomphe,
Champs Elysees & the Eiffel Tower - Afternoon at Leisure Rotterdam
Meal - B Overnight - Paris Arrive in Rotterdam, the second-largest city in the Netherlands and one of the largest
ports in the world, often called the ‘Gateway to Europe’. During WWII the city was al-
Day 13/April 14 Paris - Flight Home most completely destroyed. Today Rotterdam is famous for its eye-catching skyline with
Transfer to Paris Airport - Flights Home the Erasmus Bridge across the Maas River and modern architecture with cutting-edge
buildings. A highlight of your Rotterdam City Tour is a visit to the market hall which is a
Meal - B large covered market filled with stands for fresh fish, fruit and other delicacies.
Paris Optional Extension Includes: 2 Nights Hotel in Paris, Tour Manager,
3 Meals (2-Breakfasts & 1-Dinner) & Paris City Tour Keukenhof Gardens
Visit the famous Keukenhof Gardens, known as the Garden of Europe and the world’s
Notes: Paris Extension must be booked at time of deposit. Due to group air policies 2nd largest flower garden with 7 million bulbs planted annually. This is the showplace
outbound air on 04/02/2019 could be a different schedule than the rest of your group for the tulip growers of the Netherlands where numerous sculptures also lurk between
for Paris extension passengers. • Paris Ext is based on 20 passenger minimum the flower beds to create a harmony between art and nature.
Ship & Onboard Experience Inclusions & Highlights
The Ship - MS Amadeus Star All Meals Included Onboard
The innovative 164 passenger Amadeus Star Three meals daily are served graciously in a single
•Roundtrip Airfare - LAX
launching in Spring 2019, offers all the amenities seating in the exquisite restaurant and feature •Roundtrip Transfers - LAX
of a floating 5-star hotel. This Premium cruise local & international specialties. All dinners are •2 Nights Hotel - Dutch Village (Valkenburg)
ship features the most modern furnishings that four courses and are served with included regional •7 Night Cruise - Outside Cabin
blend masterfully with the architecture of the wines. While dining, you have splendid views of •23 Meals (9-B, 6-L & 8-D)
ship and a luxurious design that is the hallmark the passing scenic landscapes through the large •PWD Tour/Cruise Manager
of the Amadeus fleet. The extensive Restau- picture windows. Enjoy afternoon and/or late •Regional Wine with Onboard Dinners
rant and the Panorama Bar offer divine views evening snacks in the lounge based on the daily
of the passing riverscapes, and the outdoor, schedule. •Welcome & Farewell Dinners
glass-shielded River Terrace allows you to relax •Ship Staff
in the open air regardless of the weather. The Comfortable & Innovative Staterooms •Baggage Handling
attentive English-speaking onboard service staff After boarding, unpack once. All staterooms are •Int’l Air Taxes/Fuel/Fees & Port Charges
will see to your comfort with typical European larger than traditional river cruise cabins & offer •Hotel & Ship Transfers
hospitality. The cabin design plans are forward- excellent river views. The Mozart Deck features
thinking, bright & modern, all part of a premium 12 Suites with Walk Out Balconies. The other 19
focus with 70 large Staterooms & 12 Suites. The Staterooms on the Mozart Deck & 33 Staterooms
beauty of river cruising is that the most interest- on the Strauss Deck feature an innovative Pan- Included Excursions/Tours & Highlights
ing destinations come to you. This Star charter oramic Drop-Down Window. The 18 Staterooms •3 Country Tour - Germany, Belgium & the
features English-only onboard commentary with on the Haydn Deck have a fixed window. All Netherlands
inclusive shore excursions balanced with choice staterooms are fully equipped with comfortable •Amsterdam City Tour & Canal Cruise
to simply relax onboard, get a spa treatment or & modern furnishings including flat screen TV & •Amsterdam - Full Day of Leisure
add sightseeing with optional excursions. large private bathrooms with shower. •Zaanse Schans Visit
•Middelburg Walking Tour
•Ghent City Tour
•Bruges City Tour
•Antwerp City Tour
•Rotterdam City Tour
•Keukenhof Gardens
Optional Excursions
• North Holland (Edam & Volendam)
• Brussels City Tour
•’The Bridge of Arnhem’ & Airborne Museum
Panorama Restaurant Sun Deck
Staterooms & Suites Rates
Category E - Haydn Deck $5,095 pp/dbl
Category D - Haydn Deck $5,295 pp/dbl
Category C - Strauss Deck $5,795 pp/dbl
Category B - Strauss Deck $5,995 pp/dbl
Category A - Mozart Deck $6,195 pp/dbl
Staterooms - 172 sf Window/188 sf D-D Window Suite - 284 sq ft with Walk Out Balcony Suite - Mozart Deck $6,695 pp/dbl
All staterooms feature 2 twin beds that can be sepa- All suites are on the Mozart Deck and have pan- Single Supplements:
rated or put together, flat screen TV, shower, hair oramic windows with exterior Walk Out Balcony, Cat E & D +$1,200
dryer, closet, phone, desk, chair & safe. Mozart & two twin beds that can be separated or put to- +$1,600
Strauss Staterooms feature panoramic Drop-Down gether, a private sitting area, flat screen TV, mini-
Cat C & B
Cat A +$2,000
Windows with 188 sq ft. of floor space. Haydn Deck bar, private bath with shower, hair dryer, phone, +$2,400
Staterooms feature a Fixed Window with 172 square closet, desk, chair, safe & offer 284 square feet of Suite
feet of floor space. floor space. Optional 2-Night Paris Extension
(Cabin size/amenities can vary) $895 pp/dbl +$400 single supplement
(Suite size and amenities can vary)
Booking Discount - $200 per couple/$100 pp
(see back for details)
Monschau, Germany Bruges Keukenhof Gardens
MS Amadeus Star Deck Plan
Suite - Mozart Deck
Category A - Mozart Deck
Category B - Strauss Deck
Category C - Strauss Deck
Category D - Haydn Deck
Category E - Haydn Deck
CHOOSE YOUR CABIN
Deck Category Size Window/Balcony
Mozart-Deck 12 Suites 284 sq ft Walk-Out Balcony
Mozart-Deck 19 Cabins 188 sq ft Panoramic Drop-Down Window
Strauss-Deck 33 Cabins 188 sq ft Panoramic Drop-Down Window
Haydn-Deck 18 Cabins 172 sq ft Fixed Window
Cabins (172 or 188 sq ft) Suite (284 sq ft)
TECHNICAL DATA
Launch: 2019 Speed: 15.5 mph
Decks: 4 Crew members: 40
Length/ Width (ft): 443/37.5 Cabins/Suites: 70/12
Registry: Germany Max Passengers: 164
Reservation Information
DEPOSIT & FINAL PAYMENT - A deposit of $500 per person is due with reservation form to CANCELLATION FEES
secure reservations. Final payment is due by January 2, 2019. Cancellations are subject to the following per person fees (see below for Suites);
BOOKING DISCOUNT - Deposit by October 2, 2018 and make your Final Payment by check - Cancel on or prior to October 2, 2018: $200 pp is retained*
prior to January 2, 2019 & receive a $100 per person Booking Discount. Final payment - Cancel Oct 3, 2018 - 90 days prior to departure: Deposit or TPP** is retained
must be by check, Initial Deposit can be made by check or credit card to be eligible. Pay- - Cancel 89-60 days prior to departure: 35% of total price
ments after the Initial Deposit are considered part of the Final Payment & must be made - Cancel 59-30 days prior to departure: 50% of total price
by check. Bookings after 10/2/18 are not eligible for Bkg Discount. - Cancel 29 days or less prior to departure/no shows: No refunds
CRUISE/SHIP NOTES - Cabin categories are limited & booked on a first come, first served *Suite Deposits are Non-Refundable. **If TPP purchased with Deposit.
basis. Cruiseline reserves the right to change the Itinerary & make some ship modifica-
tions. Port Charges/Taxes are included in cruise rates ($185) and are subject to change PASSPORT INFORMATION
until Final Payment. A valid passport is required for this tour and is the responsibility of each passenger.
ONLINE BOOKING OPTION - Save time, postage & secure your seat for this group depar- Passports must be valid for up to six (6) months beyond the travel dates. All names must
ture. Simply type https://res.premierworlddiscovery.com into your web browser & use be submitted to Premier exactly as they appear on passenger passports.
the Booking Number (Web Code) from this flyer to make your Deposit online in just a few
minutes. No need to submit a Reservation Form if booking online. RESPONSIBILITY
Premier World Tours LLC dba Premier World Discovery (hereafter PWD), whose vouchers
PREMIER’S TRAVEL PROTECTION PLAN (TPP) - $395 per person are used by respective agents for the passenger in all matters pertaining to hotel accom-
The Pre-Departure Cancellation Fee Waiver (Part A – I & II) is provided by Premier World modations, cruise ship, sightseeing tours and transportation, hold themselves free of
Discovery (PWD) and is not an insurance benefit. The Post Departure Travel Insurance responsibility for any damages occasioned from any cause whatsoever. PWD will not be
Plan (Part B) is provided by USI Affinity Travel Insurance Services (USI). responsible for any damages or inconvenience caused by late arrivals, departures and
Part A – Cancellation Waiver provided by PWD change of schedule or other conditions nor will they be responsible for any act, omission,
I. Trip Cancellation Waiver (TCW) - Guarantees full refund on all payments, except the or event during the time the passenger is not on board their conveyance. The passage
TPP Fee itself in case of cancellation up to the time and date of departure due to the contract in use by the airline concerned, when issued, shall constitute the sole contract
passenger’s personal illness or death of a member of the immediate family; or, if the pas- between the airline and the purchaser of this tour/cruise, and/or passenger. PWD does
senger must return early due to the passenger’s personal illness or death of a member not hold any responsibility for the conduct of any of its members, hotel, motorcoach,
of the immediate family, a refund for the unused land services. Medical/official docu- cruiseline, train, airline or other personnel. PWD reserves the right to decline to accept
mentation required. or retain any person as a member of a tour/cruise at its discretion. PWD &/or its Tour
II. Premier “Any Reason” Cancellation Waiver (ARCW) - Reimburses 75% of the cancel- Director retain the right to require any participant to withdraw from a tour/cruise at any
lation fees in the form of a future travel credit certificate (FTCC) valid for 1 year, if you time, if determined to be in the best interests of health, safety & general welfare of the
cancel more than 48 hours prior to scheduled departure for any reason not eligible for tour/cruise group or of the individual participant. Arbitration - I/We agree, any and all
cash refund under the TCW (Part A – I.). FTCC is non-transferable, may not be redeemed disputes concerning this contract or any other material concerning the trip, or the trip
for cash and does not include any credit for the TPP Fee. The TPP Fee (if chosen) is itself must be resolved exclusively pursuant to binding arbitration in the state of California,
refundable until 180 days prior to departure & cannot be added after Final Payment. pursuant to the then current rules of the American Arbitration Association. Payment of
The TPP does not cover any single supplement charges due to an individual’s traveling the deposit for this tour/cruise constitutes acceptance of these terms and conditions.
companion cancelling prior to departure. The TPP is non-transferable and valid for each Itinerary and hotels are subject to change. CST #2048841-40
applicant only. The TPP does not cover any services such as airline tickets not purchased
through PWD. Cancellations, Claims & Inquiries under Part A will be administered by IMPORTANT CONDITIONS/NOTES
PWD. Certain Exclusions and Restrictions apply. Cruisetour rates are subject to increase until you are paid in full.
Part B – Post Departure Travel Insurance Plan provided by USI
Includes coverage for: Trip Interruption ($1,000); Trip Delay ($100/Day-Max $500); Bag-
gage & Personal Effects ($2,000); Baggage Delay ($500); Emergency Accident/Sickness Paris Extension - Due to group air policies outbound air on DEPARTURE DATE could be
Medical Expense ($30,000); Emergency Evacuation/Repatriation ($150,000); Accidental different than the rest of group for Paris Extension passengers.
Death & Dismemberment ($25,000); Emergency Travel Assistance (24/7). Claims & In-
quiries under Part B will be administered by USI.
For full Part A and Part B policy details visit: premierworlddiscovery.com/TPP
Premier World Discovery Reservation Form (River Cruise)
DEPOSIT & FINAL PAYMENT - A deposit of $500 per person is due with reservation form to CANCELLATION FEES
secure reservations. Final payment is due by January 2, 2019. Cancellations are subject to the following per person fees (see below for Suites);
BOOKING DISCOUNT - Deposit by October 2, 2018 and make your Final Payment by check - Cancel on or prior to October 2, 2018: $200 pp is retained*
prior to January 2, 2019 & receive a $100 per person Booking Discount. Final payment must - Cancel Oct 3, 2018 - 90 days prior to departure: Deposit or TPP** is retained
be by check, Initial Deposit can be made by check or credit card to be eligible. Payments - Cancel 89-60 days prior to departure: 35% of total price
after the Initial Deposit are considered part of the Final Payment & must be made by check. - Cancel 59-30 days prior to departure: 50% of total price
Bookings after 10/2/18 are not eligible for Bkg Discount. - Cancel 29 days or less prior to departure/no shows: No refunds
CRUISE/SHIP NOTES - Cabin categories are limited & booked on a first come, first served *Suite Deposits are Non-Refundable. **If TPP purchased with Deposit.
basis. Cruiseline reserves the right to change the Itinerary & make some ship modifications.
Port Charges/Taxes are included in cruise rates ($185) and are subject to change until Final PASSPORT INFORMATION
Payment. A valid passport is required for this tour and is the responsibility of each passenger. Passports
ONLINE BOOKING OPTION - Save time, postage & secure your seat for this group depar- must be valid for up to six (6) months beyond the travel dates. All names must be submitted
ture. Simply type https://res.premierworlddiscovery.com into your web browser & use the to Premier exactly as they appear on passenger passports.
Booking Number (Web Code) from this flyer to make your Deposit online in just a few min-
utes. No need to submit a Reservation Form if booking online. RESPONSIBILITY
Premier World Tours LLC dba Premier World Discovery (hereafter PWD), whose vouchers are
PREMIER’S TRAVEL PROTECTION PLAN (TPP) - $395 per person used by respective agents for the passenger in all matters pertaining to hotel accommodations,
The Pre-Departure Cancellation Fee Waiver (Part A – I & II) is provided by Premier World cruise ship, sightseeing tours and transportation, hold themselves free of responsibility for
Discovery (PWD) and is not an insurance benefit. The Post Departure Travel Insurance Plan any damages occasioned from any cause whatsoever. PWD will not be responsible for any
(Part B) is provided by USI Affinity Travel Insurance Services (USI). damages or inconvenience caused by late arrivals, departures and change of schedule or other
Part A – Cancellation Waiver provided by PWD conditions nor will they be responsible for any act, omission, or event during the time the pas-
I. Trip Cancellation Waiver (TCW) - Guarantees full refund on all payments, except the TPP senger is not on board their conveyance. The passage contract in use by the airline concerned,
Fee itself in case of cancellation up to the time and date of departure due to the passenger’s when issued, shall constitute the sole contract between the airline and the purchaser of this
personal illness or death of a member of the immediate family; or, if the passenger must tour/cruise, and/or passenger. PWD does not hold any responsibility for the conduct of any
return early due to the passenger’s personal illness or death of a member of the immedi- of its members, hotel, motorcoach, cruiseline, train, airline or other personnel. PWD reserves
ate family, a refund for the unused land services. Medical/official documentation required. the right to decline to accept or retain any person as a member of a tour/cruise at its discre-
II. Premier “Any Reason” Cancellation Waiver (ARCW) - Reimburses 75% of the cancella- tion. PWD &/or its Tour Director retain the right to require any participant to withdraw from
tion fees in the form of a future travel credit certificate (FTCC) valid for 1 year, if you cancel a tour/cruise at any time, if determined to be in the best interests of health, safety & general
more than 48 hours prior to scheduled departure for any reason not eligible for cash refund welfare of the tour/cruise group or of the individual participant. Arbitration - I/We agree, any
under the TCW (Part A – I.). FTCC is non-transferable, may not be redeemed for cash and and all disputes concerning this contract or any other material concerning the trip, or the trip
does not include any credit for the TPP Fee. The TPP Fee (if chosen) is refundable until 180 itself must be resolved exclusively pursuant to binding arbitration in the state of California,
days prior to departure & cannot be added after Final Payment. The TPP does not cover any pursuant to the then current rules of the American Arbitration Association. Payment of the
single supplement charges due to an individual’s traveling companion cancelling prior to deposit for this tour/cruise constitutes acceptance of these terms and conditions. Itinerary
departure. The TPP is non-transferable and valid for each applicant only. The TPP does not and hotels are subject to change. CST #2048841-40
cover any services such as airline tickets not purchased through PWD. Cancellations, Claims
& Inquiries under Part A will be administered by PWD. Certain Exclusions and Restrictions IMPORTANT CONDITIONS/NOTES
apply. Cruisetour rates are subject to increase until you are paid in full.
Part B – Post Departure Travel Insurance Plan provided by USI
Includes coverage for: Trip Interruption ($1,000); Trip Delay ($100/Day-Max $500); Baggage
& Personal Effects ($2,000); Baggage Delay ($500); Emergency Accident/Sickness Medical Paris Extension - Due to group air policies outbound air on DEPARTURE DATE could be dif-
Expense ($30,000); Emergency Evacuation/Repatriation ($150,000); Accidental Death & ferent than the rest of group for Paris Extension passengers.
Dismemberment ($25,000); Emergency Travel Assistance (24/7). Claims & Inquiries under
Part B will be administered by USI.
For full Part A and Part B policy details visit: premierworlddiscovery.com/TPP
Reservation Form Contact Information/Mail Reservation Form to:
Holland Windmills, Waterways & Tulips River Cruise Arcadia Travelers
April 2, 2019 365 Campus Drive • Arcadia, CA 91007
Booking #120677 (626) 821-4377
Make Checks Payable to: Premier World Discovery arcadiatravelers.com
Cabin Category Requested: Cat E: Cat D: Cat C: Cat B: Cat A: Suite: (All Cabin Categories are on a space available basis)
Enclosed please find a deposit in the amount of $ ____________ ($500 per person) to secure reservations for __________# of people.
Premier’s Travel Protection Plan (TPP): Yes, I (we) wish to purchase travel protection (TPP) No, I (we) decline travel protection (TPP)
Enclosed please find payment in the amount of $ ____________ ($395 per person) to secure the Premier’s Travel Protection Plan (TPP).
I (We) wish to book the 2-night Paris Post Cruise Extension*** ($895 pp dbl/+$400 SS) Yes No (***Paris Extension must be booked at time of deposit)
Total Payment $___________________ RT AIR GATEWAY ________________________ ROOMMATE’S RT AIR GATEWAY _________________________
see flyer page 3 for included group RT air gateway/departure city, additional charges apply for other RT air gateways
To avoid change fees, submit full Passport names (first/mid/last) exactly as they appear on Passports
Passport Name ______________________________________________________________________ DOB (MM/DD/YY)____________________ Gender M F
Roommate’s Passport Name ____________________________________________________________ DOB (MM/DD/YY)____________________ Gender M F
Passport #:________________________________________ Exp Date (MM/DD/YY)__________________________ Country of Issuance __________________________
Roommate’s Passport #:______________________________ Exp Date (MM/DD/YY)__________________________ Country of Issuance __________________________
Your Address ____________________________________________________________________________ Check if Roommate’s address is the same
City__________________________________________________ State________________ ZIP__________________ Tel # ______________________________________
Email Address ___________________________________________________________________________________ Mbl #_______________________________________
Emergency Contact/Tel #_______________________________________________________ Other Notes_____________________________________________________
Cardholder Name (if paying by credit card) ________________________________________________
Amount to be charged $______________ Credit card #: ___________________________________________________________________ Exp. Date: _______________
Cardholder Billing Address: Check if address is the same as above ________________________________________________________________________________
Signature Required (for credit card use & acceptance of terms*): ________________________________________________________ Today’s Date:_________________
*I (We) agree to pay according to the credit card issuer agreement. I understand and accept the cancellation fees/policy and other terms.
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