World Council of Credit Unions Croatia Engagement 2020 Registration
May 17-24, 2020 Engagement in Croatia. The pricing for this Engagement is $5100.00 for the land-portion only (including meals, tours, overland transportation, hotel). A guest sharing the same room is $2625.00. Airfare is separate. For US citizens passport is required and should be valid at least 6 months after travel and no visa is required. If you are not a US Citizen, please check with your local requirements for passports and visas to Croatia. Please fill out this form carefully and contact Alyssa with any questions 608-833-6968 ext. 254 or aziegler@burkhaltertravel.com
Engagement inclusions. If you would like an emailed pdf of this page you can email Alyssa at aziegler@burkhaltertravel.com
Your Company Name
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Name (exactly as appears on passport): *
Your answer
Companion Name (if applicable, exactly as appears on passport):
Your answer
Address: *
Your answer
City: *
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State: *
Your answer
Country: *
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Zip: *
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Cell Phone: *
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Other Phone:
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Email: *
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Special requests:
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Birthdate: *
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Room accommodation (not guaranteed):
Any allergies or medical needs we should be aware of?
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Emergency contact while I am gone name: *
Your answer
Emergency contact while I am gone phone: *
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Travel Insurance Information: The World Council of Credit Unions provides free Travel Accident insurance for participants through Zurich. This insurance covers medical issues and evacuations, but does not cover loss of flight or registration costs for covered cancellation reasons. If you are a US citizen and are interested in more comprehensive coverage, please see the information below and contact Alyssa 608-833-6968 x254 or aziegler@burkhaltertravel.com for a quote.
Preferred Insurance from Travel Guard is available to US Citizens. If you are not a US Citizen you will want to check with your local insurances for extra coverage. If you would like a pdf of this emailed to you contact Alyssa at aziegler@burkhaltertravel.com.
I am a US citizen and wish to receive a quote for additional insurance coverage: *
Full payment of $5100.00 per attendee and $2625.00 per companion (if applicable) is due now. There is a $250 penalty to cancel until March 20, 2020 and after that it is non refundable.
Please call or email Alyssa 608-833-6968 x254 aziegler@burkhaltertravel.com with your payment information. I will pay by: *
Airfare is NOT included with this package. Depending where you live you may have to depart on May 16. Airfare is non refundable and there are penalties to make changes. Burkhalter Travel is available to help you with flights and roundtrip airport transfers.
Would you like Burkhalter Travel to handle your air reservations? *
Passport and other airline related questions only need to be answered if you are booking air with Burkhalter Travel. If you are not booking air, please move through the form to answer the questions about airport transfers and the terms and conditions. If you do not have a current passport and are still applying for one, please just type "applying for" in the passport question and provide it at least one month before departure.
Your Passport Number:
Your answer
Your Passport Expiration Date
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Your TSA Pre-Check/Global Entry # (if applicable):
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Companion Birthdate (if applicable):
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Companion Passport Number (if applicable):
Your answer
Companion Passport Expiration Date (if applicable):
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Companion TSA Pre-Check/Global Entry # (if applicable):
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Preferred Air Departure City or Cities: *
Your answer
Air Seating Preference (not guaranteed):
Airport Transfers costs will vary by how many passengers but will be approximately $60 for a sedan that will hold two people. If you purchase airline tickets with Burkhalter Travel, you will be offered this extra service for $10 per reservation. If you do not purchase air with us you can still add this service.
I am booking my air on my own but would like to pay $10 to have Burkhalter Travel arrange a sedan transfer for me. If I choose yes, I will contact Burkhalter Travel with my flight arrangements.
Terms and Conditions- Please read carefully. If you would like a copy of this emailed to you, please email Alyssa at aziegler@burkhaltertravel.com.
I have read the attached terms and conditions and agree. *
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