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Citronelle High School Band 2019
Traveler Information
*Name of Traveler:
*Traveler Type:
*Group 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:
After rooming list submission, each traveler will be billed on his/her room occupancy which may increase trip cost. Prices based on a minimum of 45 travelers per motorcoach.
*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:

October 3, 2018: $150 per person
November 2, 2018: $100 per person
December 3, 2018: $100 per person
January 3, 2019: $100 per person
February 1, 2019: Remaining Balance Due
***DUE TO VENDOR REQUIREMENTS PAYMENTS MUST BE MADE ACCORDING TO THE ABOVE PAYMENT SCHEDULE. THANK YOU.
 
Credit or Debit Card Information
Please refer to the Payment Schedule above for 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.
By submitting this form, you are agreeing to all terms and conditions and no money is refundable or transferable.
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