Paris and Normandy Registration - Tour Plan International

Personal Information and Travel Preferences

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Name *

Date of Birth *

Gender *

Country of Citizenship *

Mailing Address *

City *

State *

Zip *

Email *

Cell Phone

Home Phone

Emergency Contact Name and Phone *

Dietary Restrictions

Share State Room With

Category Choice *

(Please refer to pricing grid below)

Bedding Choice

One Bed

Two Beds

Price Per Person as of January 1, 2021

Would you like to purchase group airfare? *

Yes

(Schedules and rate to be advised by June, 2020)

Will you be purchasing the optional 3 night pre-trip land package? *

Yes

Would you like a transfer from Richmond to Dulles? Cost is TBD based on number of passengers. *

Yes

Valid Passport (with at least 6 months validity from your return travel date) is required. Please attach a copy of your passport photo information page to this registration form.

Passport Photo Information Page

Maximum file size: 26.21MB

Payment and Credit Card Authorization

Pay by Check

I am enclosing Check #

in the amount of $

for

traveler(s).

(Minimum deposit $500.00 per person). I authorize the use of my credit card in case of cancellation, via the credit card authorization below, per the cancellation and refund policy.

Pay by Credit Card

Charge my credit card below for the deposit amount of $

for

traveler(s).

(Minimum deposit $500.00 per person). I authorize the use of my credit card in case of cancellation, via the credit card authorization below, per the cancellation and refund policy.

Travel Insurance

I would like to purchase an Allianz Global Assistance Travel Insurance Policy to cover:

Insurance Coverage

Cruise Only

Cruise and Air Package

Cruise, Air and Hotel Package

I will pay by

Credit Card

Check

Check Number

Credit Card Information

Credit Card Type

American Express

Discover

Mastercard

Visa

Credit Card Number (first 8 digits only)

Expiration

CVC

Name of Cardholder

Billing Address and phone if different than registration

Would you like to use this card for all future payments?

Yes

I agree to pay according to the card issuer agreement. I understand and accept the Tour Plan International and AMA Waterways cancellation policy, passport requirements, terms and conditions. I authorize the user of my credit card as a guarantee for cancellation.

Signature

Clear

Marketing Permission

I agree to the following marketing permissions:

Email Communications:

Yes

Inclusion in group directories:

Yes

Use of likeness in photographic marketing materials:

Yes

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