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Fr. Mike Boutin Reservation Application 

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Reservation Made By

    

TOUR INFORMATION

 Group    Fr. Mike Boutin - Pilgrimage to Italy
 Price   By check $4,445. / By credit card $4,600.
 Dates   October 11 - 24, 2009
   

 

Optional Tour

 

 Day 3: Tuesday, Oct. 13 (Choose One)

OT1 - $169; Rome. Capri

OT2 - $158; Rome. Naples & Pompii

OT3 - $58; Rome. The catacombs of St. Callixtus

OT4 - $15; Scavi

 

 Day 4: Wednesday, Oct. 14

OT5 - $76; Tivoli Villas

 

 Day 13: Friday, Oct. 23

OT6 - $69; Excursion to Milan

   

PASSENGER(s) INFORMATION (Names MUST Be Exact Match to Your Passport)

     Name(s) of passengers (Last / First , Middle) DOB (mm/dd/yy)   Passport #   Nickname

1.

2.

3.
4.

Address

    

Address 2

   

City, State, Zip Code

    

Country

   

Home Phone

    

Work/Cell Phone

   

Fax

   

E-Mail(s)

    

EMERGENCY CONTACT

Name (Relationship)   
Phone   

REGISTRATION OPTIONS

Land Only *    I am registering for Land Only * (arrival/departure transfers not included)
Departure City     
Business Class     I would like to upgrade to Business Class for an additional $2,900 roundtrip
Accommodations    
Roommate Request    
Travel Insurance

   I DECLINE Travel Insurance.

Travel Insurance will automatically be billed unless you decline coverage at the time of registering. ($129 -$225 premium amount based on total trip costs)

SPECIAL REQUESTS

Seat Request   
Meal Request   
Wheelchair Request   
Other Needs   

:::  ADDITIONAL COMMENTS OR INFORMATION  :::

PAYMENT INFORMATION for General Reservations

A $400 per person deposit is due at the time of booking.  The balance of your trips costs will be due

60 days prior to departure.  Please note a late booking fee of $50 will be added to reservations made with in

30 days of the departure date.


 I wish to make my Instant payment from my Checking Account (Automated Clearing House)

Your Bank Routing Number
Your Account Number 
Amount  

 Remember credit card payments add - 3.5% surcharge

I wish to make a direct credit card payment (Only * possible if more than 60 days prior to departure)
       Name on Credit Card        

 
       Type of Card                    

 
       Card Number              
          CID Code 


      
Expiration Date (mm/yy)             

 

 

        Charge the Deposit Now (Only * if registering more than 60 days prior to the trip departure date)       

 

        Please automatically charge the balance of my trip costs 60 - 70 days prior to departure

 

        Charge total trip costs now (REQUIRED IF BOOKING WITH IN 60 DAYS OF DEPARTURE)


 I wish to pay For My Trip With PayPal (can be done at any time)
       *Paypal payments must be made to account: info@206tours.com


 I wish to make my payment via Check or Money Order. I will send my payment by mail.

         Please send payments to: 206 Tours, 333 Marcus Blvd, Hauppauge, NY 11788

 

 

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206 TOURS, INC.  333 Marcus Blvd, Hauppauge, N.Y. 11788
Phone: (631) 361-4644 | Toll-Free: 1-800-206-TOUR (8687) | Fax: 1-631-361-3682 
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