UMS-Wright Senior Trip

UMS-Wright Senior Trip | April 2019

Traveler Information

*Name of Traveler:

*Traveler Type:

*Gender:

*Date of Birth:

*Address Line 1:

Address Line 2:

Apt. or Suite No.

*City:

*State:

*Zip Code:

*Home or Work Phone:

*Cell Phone:

*E-Mail of Parent:

Trip Options and Details

*Occupancy Request:

Price based on a minimum of 10 resort rooms per night.Price is subject to change and is based on availability at time of booking. Once a rooming list is received every traveler will be billed based on his/her room occupancy.

*Number of Travelers on this reservation

List Additional Travelers & Relationship to Primary Traveler:

Ex. Lee Smith - Father

Comments:

Deposit and Payment Schedule

Your payment due will be based on when you register according to the schedule below:

August 1, 2018:  $350 per person
October 10, 2018   $1,000 per person
November 10, 2018   $1,000 per person
Jan.  10, 2019   Remaining Balance Due

Credit or Debit Card Information

Please refer to the Payment Schedule above for your payment information.

*Amount to Charge: $

*Card Number:

*Card Brand

*Name as it appears on Card:

*Expiration Month:

*Expiration Year:

Terms and Conditions

PAYMENT OPTIONS:  Credit/Debit Cards accepted by phone or via our online payment portal.  Good News:  Student Tours no longer charges a card processing fee!  Checks or money orders may be submitted by mail to the address on your confirmation/invoice.  Student Tours does not accept cash. 

Payments are neither refundable, nor transferrable unless trip is cancelled by the school.

Room occupancy and pricing is on request.  After a rooming list is submitted by the school, every traveler`s final balance will be established based on his/her room occupancy.

Travel Protection insurance is available and we will provide a link for you to review and purchase once we have your registration confirmed.  Please don`t hesitate to call for information about Trip Protection.

Learn more about Trip Protection here--Student Tours is a division of All Aboard Travel.

By submitting this form, you are agreeing to all terms and conditions and no money is refundable or transferable.

Create Your Own Form
using this Template

Want the ability to collect information with an
online form that looks like this one?