Fields of Fire Registration Form 2018

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FOF ITALY -REGISTRATION FORM April 3 – 14 , 2018 In returning this registration form, I acknowledge that I have read and understood the Terms and Conditions included as page two of this registration form.

Name as it appears in your passport

Preferred name

Mailing Address

City / Province

Contact Telephone #

E-mail Address

Passport Number Country of Issue Expiry (DD/MMM/YY) If passport number is not available when the form is completed, please forward as soon as possible

Name as it appears in their passport (if same address)

Travelling Companion

Birth date (DD/MMM/YY)

Birth date (DD/MMM/YY)

Postal Code

Preferred name

Passport Number

Country of Issue

Expiry (DD/MMM/YY)

.

Land Only Tour Cost: CAD $3,200.00 per person double CAD $3,650.00 single occupancy I would be interested in receiving a flight quote from: Toronto __ Ottawa __ Montreal __ Vancouver __ Calgary___ Other _____________ Deposit:

$ 750.00 x ___ people

= $ __________

Insurance: ( ) I//We plan to arrange insurance through Merit Travel

( ) I/We DECLINE coverage

Please indicate payment method: (circle) Cheque (payable to Merit Group Travel), Visa or MasterCard _______________________________________ Card #

_______________ Expiry Date

______________ Security Code

I authorize a charge of $ _________________ to my credit card. __________________ Date

_____________________________________ Signature

TERMS AND CONDITIONS

FOF Italy Group

Please read this important information carefully.

April 3 – 14 , 2018

Payment Schedule: A non-refundable deposit of CAD $750.00 per person is required immediately to confirm your interest. Final payment is due 90 days prior to departure, January 3 , 2018. Payment may be made by cheque or money order, payable to Merit Group Travel, or by MasterCard or Visa. Pricing: Prices are listed in Canadian Dollars, per person, based on double occupancy. Prices are subject to change without notice due to increases in government and airport authority imposed taxes and fees, and/or applicable fuel and currency surcharges. Transportation: International group airfare will be offered if required. If there are more than 10 passengers we may be able to secure a group air fare . Please indicate your gateway and if you would like to be considered in the group fare quote for the flights. All internal transportation is included. Documentation: A valid Passport is required for travel to your destination and must be valid for at least six months beyond intended stay. Travel Protection Plan: Travel insurance protection is strongly recommended for this tour. Please do not hesitate to contact our office for further details prior to booking. Cancellations and Refunds: While Merit Group Travel will do its utmost to minimize any penalties charged, there will be some irrecoverable costs associated with your program. As a guideline, the following penalties will be considered the costs incurred with cancellation: At registration……… ………………………..…… …. $750.00 (deposit is non-refundable ) Jan 3 , 2018 .................…………..........…...…….…..100% of full payment non-refundable Responsibility: Merit Group Travel acts as an agent for hotels and transportation companies. We do not accept responsibility for any damage, loss, injury or other irregularities in connection with any transportation, accommodation or service provided. If services cannot be provided, Merit Group Travel will endeavour to provide comparable alternatives. Merit Group Travel will provide a full refund for any program that is cancelled in its entirety. It is the responsibility of the traveler to ensure they are in good physical health for the activities of each individual program. All participants will be required to complete a health form prior to departure. Special requests and dietary restrictions will be accommodated where possible, but are not guaranteed. Please note: The living standards and practices at the destination may differ from those found in Canada or the United States, as may the standards and conditions with respect to the provision of utilities, services and accommodation. The order and content of tour elements are subject to change and we appreciate your understanding if this occurs.

Please visit the office, e-mail, mail or FAX registration form along with payment to: MERIT GROUP TRAVEL Brian Cruickshank, 186 Princess Street , Kingston ON,K7L 1B1 (613) 549-3553 x 3375 Toll free (866)-341-1777 x 3375 FAX (613) 548- 1787 Email: [email protected]

Merit Group Travel is fully registered in Ontario, Canada (TICO #50017676)