SPIRITS BY DAY - SPIRITS BY NIGHT IRELAND TOUR - SEP, 2017 BOOKING FORM AND ONLINE REGISTRATION
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Hosted by Monique MacDonald - Author, Trainer and Shift Disturber (monique@telus.net) Tour organized by Irish Celtic Wisdom Keeper - Maria O'Farrell Carr and Irish Travel Guide - Rosie O'Toole
FIRST NAME AND SURNAME
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NAME AS IT APPEARS ON PASSPORT
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DATE OF BIRTH
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MAILING ADDRESS
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PHONE NUMBER
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CELL PHONE NUMBER
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EMAIL ADDRESS
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EMERGENCY CONTACT PERSON NAME, PHONE AND EMAIL
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NAME OF ROOMMATE IF KNOWN
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TYPE OF ROOM REQUESTED
EXTRA NIGHTS BEFORE AND AFTER THE TOUR WILL BE AVAILABLE. ARE YOU INTERESTED IN THIS? IF YES, WE WILL CONTACT YOU TO GIVE PRICING
I WISH TO BOOK MY FLIGHTS THROUGH BANKS TRAVEL
IF YOU HAVE BOOKED YOUR OWN AIRFARE PLEASE PROVIDE YOUR ARRIVAL FLIGHT INFORMATION INCLUDING DATE, FLIGHT NUMBER, ARRIVAL TIME AND AIRPORT
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DEPARTURE AIRPORT, DATE AND TIME FROM IRELAND
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I WISH TO PURCHASE CANCELLATION AND/OR MEDICAL INSURANCE THROUGH BANKS TRAVEL (Medical Insurance available for Canadian Residents only). This is highly recommended as all payments you make to us are non-refundable. If you answer yes, we will contact you with a quote.
DIETARY ALLERGIES
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ANY MEDICAL CONDITIONS
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ARE YOU A SMOKER?
HOW DID YOU HEAR ABOUT THIS TOUR?
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DO YOU USE A WALKING AID?
DO YOU SUFFER FROM ANY MOTION SICKNESS?
ANY COMMENTS YOU WOULD LIKE US TO KNOW
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I agree to travel with one medium suitcase and one day backpack. Large suitcases will not be allowed on the bus due to Irish road weight regulations.
Waiver: I agree to release Maria Carr, Allayne Clark, K. Banks Travel, OK In Health, Rosie O’Toole, Monique MacDonald and Jane Donald from all responsibility and liability for unforeseen circumstances and/or changes in the schedule due to weather or circumstances in Ireland or Home city, PERSONAL physical or mental illness, or any unforeseen events occurring during tour dates. I understand and agree to the REGISTRATION and PAYMENT POLICIES and understand and agree to all the above information.I agree that it is my responsibility to pay for any extra hotel nights, meals not specified, any roaming cell phone charges, gratuities/tips, extra hotel charges to room etc. I agree that it is my responsibility to purchase out of country medical insurance coverage and if I need to visit the E.R. that there may be an admin charge from Hospital of 100 - 250euros. It is my responsibility to make sure my luggage is handed to bus driver and no larger than a medium suitcase size. I understand my credit card will be charged now for the deposit, followed by the full balance being automatically charged on the next payment date. I agree that it is my responsibility to purchase travel medical and cancellation insurance as there are no refunds from K. Banks Travel, Monique MacDonald or Maria Carr once monies are paid. (Any possible refunds are only available by purchasing the "trip cancellation” insurance under the conditions on your policy). Please discuss details with K.Banks Travel. If we have an uneven number the last three guests with no roommate will be assigned a larger triple bed room. I understand that all gratuities or tips are expected to be given by guests to housekeeping staff, restaurant servers, bar staff, bus drivers and boatman. I understand and agree to the registration and Payment policies and ALL information as given above.Cancellation INSURANCE is HIGHLY RECOMMENDED as there are no refunds. For travel, medical or cancellation insurance information contact Allayne Clark at K. Banks Travel (reg 2776-4)
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TYPE OF CREDIT CARD FOR PAYMENT
CREDIT CARD NUMBER AND EXPIRY DATE...**If you are not comfortable to input your card number on this form you have the option of calling our office in Canada at 1-250-492-0726
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TOTAL AMOUNT WE ARE CHARGING YOUR CARD
FULL NAME ON CREDIT CARD
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SECURITY NUMBER (located on the back of the card)
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BILLING ADDRESS OF THE CARD
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THANK YOU FOR YOUR REGISTRATION...PLEASE EMAIL A HEADSHOT PHOTO OF YOURSELF to tours@bankstravel.com If you have any questions regarding this tour please contact Monique MacDonald monique@telus.net
K Banks Travel, 206 Main Street Penticton, BC Canada V2A 5B2 Phone (250) 492 0726 Fax (250) 492 2700 email allayne@bankstravel.com Reg 2776-4
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