Sign up form, Spain tour November 2022

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Spain tour dates, November 5-15, 2022

Email *

Today's Date *

YYYY

Last Name *

As it appears on passport

First name *

As it appears on passport

Middle Name

As it appears on passport

Complete Mailing Address *

Mobile Phone number *

Include country code (US= +1) example +11234567890

Passport number *

Country of passport issue *

Passport expiration date *

Note: your passport expiration date must be at least six months after the end of your stay in our host country.

YYYY

Date of Birth *

YYYY

Place of Birth (state, province, territory) *

Place of Birth (country) *

Nationality *

Emergency Contact Name and Phone (with country code) *

Single or double occupancy *

Double occupancy ($4120)

Single occupancy ($4620)

Name of roommate (if applicable)

Number of beds *

Do you have any health concerns we should be aware of? If no, please answer "no." *

Do you have any dietary preferences or restrictions? If not, please answer "no." *

Are you fully vaccinated and boosted for Covid 19? (You must be fully vaccinated to participate in our tours. See our requirements here.) *

Yes

Travel Insurance is required: please enter the name of your travel insurance carrier and policy number and information. *

Total Amount remitted *

The deposit must be received by June 30, 2022.

$1000 (deposit)

$4120 (double occupancy via Credit Card)

$4620 (single occupancy via Credit Card)

Payment Instructions; please read carefully

If you are paying by credit card, please visit this page to complete the transaction: https://travelpast50.com/spain-tour-payment

If you wish to pay by check and receive the $100 discount, please send your check, made out to Travel Past 50 LLC, to:

Tom Bartel
Travel Past 50 LLC
2932 Monterey Ave S
Saint Louis Park, MN 55416

Reservations are not complete until the following steps are complete:

The tour will only be a GO when there are a sufficient number of paid participants before the deadline. N.B. DO NOT MAKE ANY NON CANCELLABLE TRAVEL RESERVATIONS UNTIL YOU RECEIVE CONFIRMATION THAT THE TRIP IS A GO!

REQUIRED: Please send a copy of your passport signature/photo page, in a single image, via e-mail to us at tom@travelpast50.com. It can be a scan or high quality picture made with a smartphone.

Terms and Conditions *

I have read and agree to the Travel Past 50 Tour Terms and Conditions as stated on this page: https://travelpast50.com/tour-terms-and-conditions/

Required

A copy of your responses will be emailed to the address you provided.

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