TRIP # INSURANCE DEPOSIT FINAL
Great Canadian War Memorials Tour September 2019 Names provided must be EXACTLY as shown on passport(s)
1 2
Full Name
Date of Birth (DD-MMM-YY)
Full Name
Date of Birth (DD-MMM-YY)
TRIP INFORMATION Pricing Prices listed include taxes and fees and are per person, double occupancy. Flights are not included. Flight pricing will be available by December 1, 2018.
Double Occupancy
$3,669*
Single Occupancy
$4,605*
Non-refundable deposit of $750.00 due at time of booking. Non-refundable final payment due by April 15, 2019 and will be taken from original credit card provided unless notified prior to final payment date. *Prices based on 2018 rates and subject to change. Tour prices will be confirmed no later than September 1, 2018. Taxes subject to change. All transfers included if land and air package is booked with Stewart Travel Group.
PASSPORT CONFIRMATION
I confirm that all passengers have a passport that is valid for at least six months after the return date of this trip.
TRAVEL INSURANCE
Premium Protection Plan Declined
All-Inclusive
Non-Medical
By checking the “Declined” box and submitting this document, I waive any liability against my Trusted Travel Advisor or Stewart Travel Group for any costs I incur as a result of my choice not to purchase Travel Insurance Coverage or my selection of the principal sums and/or sums insured of the insurance(s) that I have purchased.
CREDIT CARD INFORMATION For security reasons, you may wish to call your Trusted Travel Advisor with your credit card information. Please note that booking is not guaranteed until payment is provided.
Card Number
Expiry
CVV
Name on Card
By submitting this form, I authorize Stewart Travel Group and its suppliers to charge my credit card for the agreed upon non-refundable deposit and final payment for this trip. I understand that my information will be saved to file for future transactions on my account.
CONTACT INFORMATION Mailing Address Phone
(H)
(C)
(W)
Email Contact
Yes, please add me to the STG mailing list.
My Trusted Travel Advisor is:
Stewart Travel Group acts only as agent for the client in acquiring transportation, hotel accommodations, sightseeing, and other privileges or services for the client’s benefit, and on the express condition that Stewart Travel Group shall not be responsible for any loss, accident, injury, delay, defect, omission, or irregularity that may occur or be occasioned, whether by reason of any act, negligence, or default of any company or person engaged in or responsible for carrying out of any arrangements, or otherwise in connection therewith.