Passenger 1 Passenger 2 Mailing Address Contact Information ...
LT1104: Manitoba Forage & Grassland Association - Spain & Portugal: February 11th-25th 2018
Passenger 1
Surname
Given Name (As per passport) Date of Birth (MM/DD/YY)
Passenger 2
Mailing Address
Street City Postal/Zip Code
Contact Information
Date of Birth (MM/DD/YY)
Given Name (As per passport)
Surname
Preferred Name Preferred Name
Province/State Country
Home Phone
Email
Cell Phone
Fax
PLEASE SCAN & FAX/EMAIL A COPY OF YOUR PASSPORT - passport must be valid for 3 months beyond your return date
Emergency Contact
Name
Relationship
Address
Phone/Emergency
Special Requirements - Please mention any special needs or requirements that the tour leader should know about: Example: Medical Conditions, Medications, Dietary Requirements, Allergies, Disabilities, Impairments, other....
Tour Package Pricing: Please note, due to limited availability, seats will be allcoated on a first come first serve basis Deposit Details: Oct 31st 2017: $500.00 per person to secure seat!
Twin Rate: $4996.00 Single Rate: $5829.00
Initial Deposit of $500 per person required by October 31st, 2017 to secure your seat. Final Payment due November 30th, 2017.
Booking forms must be filled & emailed or faxed to: Email: [email protected] Fax: 403-270-4212 FINAL PAYMENT CAN BE MADE VIA CHEQUE, CREDIT CARD OR BANK TRANSFER: Cheque payable to Leader Tours I authorize Leader tours to charge the card provided for the following: This package is 100% non-refundable:Cancellation Insurance must be purchased with this tour package or you must provide proof of Name on Card: coverage through your insurance provider Card Number: I have insurance through another provider I would like to purchase insurance through Leader Tours
CVV:
Total amount to be charged:
Booking Terms & Conditions: 1. Tour deposit due no later than October 31st, 2017 2. Tour package is 100% non-refundable 3. Guaranteed departure with a minimum of 24 passengers 4. Tour itinerary is subject to change 5. Final payment is due no later than November 30th, 2017 6. Final payment can be paid via CC, Cheque or Bank Transfer 7. I am physically able to travel 8. I have read & understand the booking conditions 9. This tour is limited to a maximum of 34 passengers Signature/Inital:
Card Expiry:
Date:
Signature/Inital:
Date:
Leader Tours Inc. 114, 3907, 3A Street, NE Calgary, Alberta, T2E 6S7 Phone/Fax P: 403-270-7044 F: 403-270-4212
Email [email protected] [email protected]
Passenger 1
Surname
Given Name (As per passport) Date of Birth (MM/DD/YY)
Passenger 2
Mailing Address
Street City Postal/Zip Code
Contact Information
Date of Birth (MM/DD/YY)
Given Name (As per passport)
Surname
Preferred Name Preferred Name
Province/State Country
Home Phone
Cell Phone
Fax
PLEASE SCAN & FAX/EMAIL A COPY OF YOUR PASSPORT - passport must be valid for 3 months beyond your return date
Emergency Contact
Name
Relationship
Address
Phone/Emergency
Special Requirements - Please mention any special needs or requirements that the tour leader should know about: Example: Medical Conditions, Medications, Dietary Requirements, Allergies, Disabilities, Impairments, other....
Tour Package Pricing: Please note, due to limited availability, seats will be allcoated on a first come first serve basis Deposit Details: Oct 31st 2017: $500.00 per person to secure seat!
Twin Rate: $4996.00 Single Rate: $5829.00
Initial Deposit of $500 per person required by October 31st, 2017 to secure your seat. Final Payment due November 30th, 2017.
Booking forms must be filled & emailed or faxed to: Email: [email protected] Fax: 403-270-4212 FINAL PAYMENT CAN BE MADE VIA CHEQUE, CREDIT CARD OR BANK TRANSFER: Cheque payable to Leader Tours I authorize Leader tours to charge the card provided for the following: This package is 100% non-refundable:Cancellation Insurance must be purchased with this tour package or you must provide proof of Name on Card: coverage through your insurance provider Card Number: I have insurance through another provider I would like to purchase insurance through Leader Tours
CVV:
Total amount to be charged:
Booking Terms & Conditions: 1. Tour deposit due no later than October 31st, 2017 2. Tour package is 100% non-refundable 3. Guaranteed departure with a minimum of 24 passengers 4. Tour itinerary is subject to change 5. Final payment is due no later than November 30th, 2017 6. Final payment can be paid via CC, Cheque or Bank Transfer 7. I am physically able to travel 8. I have read & understand the booking conditions 9. This tour is limited to a maximum of 34 passengers Signature/Inital:
Card Expiry:
Date:
Signature/Inital:
Date:
Leader Tours Inc. 114, 3907, 3A Street, NE Calgary, Alberta, T2E 6S7 Phone/Fax P: 403-270-7044 F: 403-270-4212
Email [email protected] [email protected]
