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Group Travel Registration

Please complete a separate registration form for each passenger

First Name *Required
Last Name *Required
Email Address *Required
Day Phone *Required
Cell Phone
Evening Phone
Best Time to Call
I will be rooming with
IMPORTANT: Please complete a separate registration form for every passenger

I would like a room of my own with no roommate
I would like to be matched with a fellow attendee of the same gender to share a room**

** Roommates will be assigned upon availability. If none is available, single occupancy fees will apply.

Travel Agent’s Name *Required
Male or Female Male Female *Required
Legal Name as on Driver's License
Legal Name as on Passport
Passport Number (Effective Jan 1, 2007, mandatory for travel to Canada, Caribbean and Mexico.)
Passport Exp
Citizenship U.S. Other
Other Country Name
Date of Birth *Required
Home Billing Address
City
State
Zip
Smoking Yes No
Bedding 2 Beds King / 1 Bed
Food Allergies
Special Dietary Needs
Special Needs
Medical Conditions
Cancellation Insurance Yes No Want more Info
Emergency Contact Name *Required
Emergency Contact Phone *Required
Additional Comments
Repeat trip w/ Gene Scattini? Yes No - If yes, How many times?
Room type (1st choice)
Room type (2ndchoice)
Note: All passengers, including children, are required to have proper credentials for travel. For foreign travel, please make sure your passport is valid for a minimum of 6 months before expiration date prior to travel. IMPORTANT: All US Citizens must have a valid passport if traveling to Mexico, Caribbean or Canada after January 1, 2007.

Payment Schedule:

Upon receipt of your registration, an initial non-refundable deposit of $450 per person is due immediately and required to hold the reservation - please send payment and registration form to:

Ticket To Travel Trust Account
5453 Silver Vista Way, San Jose, CA 95138
408-531-9228

Deposit: $450 per participant. Deposit due upon reservation
I will be sending in check or money order for my payments
 
I understand and have read all of the terms and conditions

This custom trip is non-refundable & air is non-refundable.

There are no refunds.

Travel Insurance is highly recommended. Please ask for additional information.
      

 

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