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 $



Name ________________________________________________________________________


Address ______________________________________________________________________


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* __________________________________________

*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.


Download printable form