H3 Myanmar Highlights Tour

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This group requires a minimum of 12 hashers. Your registration will be held until the minimum has been met. When 12 or more hashers have registered, you will be notified by Email that your deposit of $400, $35 agency service fee and insurance (if applicable) will be charged in 7 days. Check web site for latest status update of group numbers.

You may register individually or as a couple. If booking individually, indicate preferred roommate below.

Guest 1 Traveler Information

Please list your FULL LEGAL NAME as it is listed on your Passport.

Title*

Legal Name:*

Hash Name

Address Line 1:*

Apt or Suite:

City, State, Zip*

Phone:*

E-Mail:*

Receipt of payment will be emailed.

Date of Birth:*

How many guests are in your cabin?*

Name of Roomate or "Find me a Roomie"

Any Medical or Dietary Needs?

Trip Protection Insurance is REQUIRED by tour company. US residents may purchased Travel Insured International plan shown on web site. Proof of insurance will be required from every traveler.

U.S. Residents only - Include Trip Protection Insurance?*

Guest 1 Deposit/Payment Information:

Do you understand the terms of deposit, cancellation, and changes?*

Card Brand:

Card Number:

Expiration Month:

Expiration Year:

CVV:

Full Billing Address if different from above:

Guest 2 Traveler Information

Please list your FULL LEGAL NAME as it is listed on your Passport.

Title

Legal Name:

Hash Name

Address Line 1:

Apt or Suite:

City, State, Zip

Phone:

Email:

Receipt of payment will be emailed.

Date of Birth:

Any Medical or Dietary Needs?

Trip Protection Insurance is REQUIRED by tour company. US residents may purchased Travel Insured International plan shown on web site. Proof of insurance will be required from every traveler.

U.S. Residents only - Include Trip Protection Insurance?*

Guest 2 Deposit/Payment Information (if paying with different card as Guest 1)

Do you understand the terms of deposit, cancellation, and changes?

Card Brand: