MGM High School Band Philadelphia Thanksgiving Day Parade 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:

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 45-53 paying 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

Payment Schedule:
February 20, 2019: Registration & Deposit of $200 per person
This was the deposit collected by Mr. Bennett
March 20, 2019: $200 per person
April 20, 2019: $200 per person
May 20, 2019: $200 per person
June 20, 2019: No payment
July 20, 2019: $200 per person
August 20, 2019: $100 per person
September 5, 2019: Balance!

***DUE TO VENDOR REQUIREMENTS PAYMENTS MUST BE MADE ACCORDING TO THE ABOVE PAYMENT SCHEDULE. THANK YOU.

Travel Protection

Please use this section to select if you`d like to purchase travel protection or not.

Pricing:
Double, Triple, & Quad Occupancies
$74 per person

Single Occupancy:
$98 per person

More information about the travel protection is below.

*I would like to purchase travel protection:

*How many double, triple, quad policies?

*How many single policies?

Travel Protection Pages 1-4

Travel Protection Pages 5-8
      

WE HIGHLY RECOMMEND EACH TOUR PARTICIPANT PURCHASE TRIP PROTECTION. 
We suggest that the Group Travel Insurance be purchased with trip deposit, please include amount with your payment.  Otherwise after 14 days from Registration the Pre-Existing conditions do not apply, it also must be purchased at least 45 days before trip departure. Within 45 days it would be an individual policy priced by age/trip cost not a group rate. Once purchased, travel protection is not refundable even if the entire trip cancels. For more information on travel insurance, please click the link below.

www.travelleadersstudenttours.com/travelprotection

Credit or Debit Card Information

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

If you made the initial deposit through Mr. Bennett and you are just registering, under card type, please choose paid Mr. Bennett - registration only.

*Card Type:

Amount to Charge: $

Card Number:

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.

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?