New England Fall Colours Quilt Tour
Reservation and Payment Form
September 21, 2018 – September 30, 2018
10 Days, 9 nights
Land package only – $2595 Cdn per person – Double Occupancy
Single supplement – $800 Cdn per person
Trip starts and ends in Syracuse, New York
Price is in CDN $
City _______________________ Prov./State ___________ Postal/Zip Code ______________
Telephone ( ) ___________________ Email ______________________________________
Emergency Contact ________________________________ Relation ____________________
Address _________________________________________ Phone Number _______________
Emergency Contact Email _______________________________________________________
I will be rooming with ________________________
Please help find me a roommate Y / N I am a non smoker Y / N I go to bed Early / Late
I would like my own room Y / N ( Add single supplement of $800 )
Initial Deposit – As soon as possible to secure your spot $300.00
Second Payment – May 4th, 2018 $1200.00
Balance Due – July 6th, 2018
*Cheques to be made payable to UNIGLOBE ENTERPRISE TRAVEL LTD.
( T.I.C.O Registration#: 1810380 )
Please return the completed form and a deposit cheque to our mailing address Quilt Tours International, 19 Hallam Road, Markham, Ontario L3P 5Y4
By Credit Card – if you email your registration in & wish not to include your credit card number, you may call us with it at 416-937-6739 . Please check which card, print name of the card holder and a signature before sending.
__ Visa ___ MasterCard
CC Number ________________________________________ Expiry ___________
Name on Card ______________________________________
*Signature is required as authorization for the processing of credit card charges
Optional Travel Insurance: Travel Insurance can be purchased through our travel agency. Obtaining Insurance is highly recommended.
Cancellation Policy: All initial deposits made by above individual (s) on this trip are non-refundable.
Should Quilt Tours International need to cancel this tour for any reason, a full refund would be issued.
Registration is taken on a first come first serve basis.