Reservation page Amsterdam 2024

“Amsterdam & Belgium” Quilt Tour

Reservation and Payment Form

April 3, 2024 – April 12, 2024

10 Days, 9 Nights

Land package only -$4495 CDN / $3425 US per person – Double Occupancy

Single Supplement – $1250 CDN / $975 US per person

Trip starts and ends in Amsterdam, Netherlands

Price is in CDN $ / US $ – taxes included

Reservations – Please print clearly

Name _______________________________________________________________________________ (As it appears on your passport)

Preferred name for name tag_______________________________ Birth Date______________________

Address ______________________________________________________________________________

City _________________________ Prov./State_________________ Postal/Zip Code ______________

Telephone (                                                                   ) _______________________ Email _________________________________________

Passport Number ________________________________ Expiry___________

Emergency Contact ____________________________________________________________________

Relationship ____________________                                           Emergency Phone Number ___________________________


I will be rooming with ________________________

Please help find me a roommate Y / N     I would like my own room Y / N (single supplement $1250 CDN / $975 US)

Other than your roommate, will you be traveling with other friends or family, please name.


Mobility issues: ______________________________________________________________________ (Are you able to walk / climb stairs unaided? Any special equipment i.e., cane, walker etc.)

Dietary or food allergies: ________________________________________________________________

Medical Issues: ________________________________________________________________________


Initial Deposit – As soon as possible to secure your spot    $500.00

Second Payment – November 1st, 2023$1500.00
Final Payment due – January 3rd, 2024

Please return the completed form

By a deposit cheque to our mailing address Quilt Tours International, 19 Hallam Road, Markham, Ontario L3P 5Y4 *Cheques to be made payable to UNIGLOBE ENTERPRISE TRAVEL LTD.

( T.I.C.O Registration#: 1810380 )


By Credit Card – if you email your registration into & 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 is required before sending.

__ Visa        ___ MasterCard

CC Number _______________________________________________                       Expiry ______________

Name on Card (print) ______________________________________

Signature of cardholder * __________________________________________

*Signature is required as authorization for the processing of credit card charges

Optional Travel Insurance: Travel Insurance is highly recommended. If you reside in Ontario, travel insurance (medical and/or cancellation) can be purchased through our travel agency.

I, ________________________________________, (print name) understand that I am solely responsible for my own belongings, safety and behavior and I do not hold Quilt Tours International and/or their tour representatives liable for any injuries, losses or damages incurred on the tour. I give my permission to be photographed or video recorded for the sole purpose of the promoting and marketing of Quilt Tours International. The acceptance of these terms and conditions is acknowledged and authorized by the payment of the deposit to Quilt Tours International.

Signed _____________________________________________ Date_____________________________

Cancellation Policy: All cancellations must be received in writing to Quilt Tours International or by the dates indicated below. A reason for the cancellation must be included.

Cancellation Fees:

90 days or more before departure: Loss of $500 per person

89 to 60 days before departure: 50% of tour fees per person

59 to 30 days before departure: 75% of tour fees per person

29 days or less before departure: 100% of tour fees per person

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.

This tour is based on a minimum of 20 people traveling.

Please do not book any air travel until this tour has been confirmed