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“Mystery Shop Hop through the Maritimes”
Reservation and Payment Form

September 27, 2021 – October 6th, 2021
10 Days, 9 nights
Land package only – $2195 Cdn per person plus HST – Double Occupancy
Single supplement $750 additional plus HST
Trip starts and ends in Moncton, New Brunswick
Price is in CDN $

Reservations

Name ___________________________________________________________________________

Address _________________________________________________________________________

City _______________________ Prov. /State ___________________Postal/Zip Code ______________

Telephone ( ) _________________________ Email ________________________________________

Age – Are you 59 & under _____ 60 – 64_____ or 65 & older_____ (Check mark only)

Emergency Contact _______________________________________ Relation ____________________

Address _________________________________________ Phone Number _____________________

Emergency Contact Email _____________________________________________________________

Rooms

I will be rooming with ________________________

Please help find me a roommate Y / N I would like my own room Y / N (Add single supplement of $750)

Mobility issues: ______________________________________________________________________

Dietary or food allergies:________________________________________________________________

I, _________________________, understand that I am solely responsible for my own belongings, safety and behavior and I do not hold Quilt Tours International and their tour representatives liable for any injuries, losses or damages incurred on the tour.

Signed _____________________________________________

Date_____________________________

Payment

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

Second Payment – May 7th, 2021    $1000.00

Balance Due – July 9th, 2021

*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

OR

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 (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.

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

Cancellation Fees: Prior to Final Payment: Loss of $500 deposit
Between final payment & 60 days before tour: 50% of tour fees
59 – 30 days before tour: 75% of tour fees
29 days or less before tour: 100% of tour fees

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.

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