TRAVEL REGISTRATION FORM
11/19/2017 07:21:02 PM

Tour:Mediterranean (HU18/S) Experience with Gov. Mike Huckabee
Departure Date:09/21/2018
YOUR DETAILS
Legal Name: (As it appears on passport)First: Middle: Last:
Title: (Mr/Mrs/Ms/Dr/Rev, etc.)
(Click Here for more information about passport books and passport cards)
Preferred First Name: (If different than First Name listed above. Leave blank if First Name listed above is your Preferred Name)
Street Address:
P.O. Box:
City:
State/Province, Postal Code:State/Province: Zip/Postal:
Country:
Home Phone: (with area code)
Work Phone: (with area code)
Email Address:
Birth Date: (Required by the airlines)Month: Day: 4 digit Year:
Sex:
Nationality:
Emergency Contact:
Phone:
(with area code)
Relationship:
Please check if you are a member of the following group:
COMPLETE THIS SECTION IF YOUR SPOUSE OR CHILD IS TRAVELING WITH YOU
Legal Name: (As it appears on passport)First: Middle: Last:
Title: (Mr/Mrs/Ms/Dr/Rev, etc.)
(Click Here for more information about passport books and passport cards)
Preferred Name: (If different than First Name listed above. Leave blank if First Name listed above is your Preferred Name)
Birth Date: (Required by the airlines)Month: Day: 4 digit Year:
Sex:
Nationality:
Emergency Contact:
Phone:
(with area code)
Relationship:
SMOKING, ROOMMATE AND TRAVEL PROTECTION PLAN
Smoking Preference:
Roommate:
Roommate Name: (only if not listed in section above)
Travel Protection Plan:
Click Here to review Travel Protection Plan coverage and benefit details.Important Information regarding the Travel Protection Program: (1) Coverage cannot be added after you have paid in full. (2) Premium is based on TOTAL cost of trip and is non-refundable. (3) Coverage begins when your premium payment is received by EOT (made separately from deposit & clearly designated as your Travel Protection Plan premium). (4) Coverage is not available for those living outside of the United States of America or Canada.
ITINERARY SELECTION
First Cabin Category Choice:
OS Owner's Suite has SOLD OUT
MS Medallion Suite has SOLD OUT
SS Silver Suite has SOLD OUT
VS Vista Suite has SOLD OUT
RS Royal Suite has SOLD OUT
GS Grand Suite has SOLD OUT
TS Terrace Suite has SOLD OUT
V4 Veranda Suite 4 has SOLD OUT
Second Cabin Category Choice: (Only used if First Cabin Category is not available)
Post-Tour:
Cruise Only: (No Domestic or International Air will be Provided if you choose the "No Air will be Provided" option)
Domestic Departure City:
I/We may be interested in Business Class seating on the flight(s):
(Starting at $3500 per person. We will contact you in November to discuss options.)
Special requests may be made once you have received your statement from us. ID numbers on your statement will allow you to access "My Account" on line where special requests are submitted.
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SUMMARY SECTION (per person)
Basic Cruise:
$0
Including tip charge under Itinerary Section (based on First Cabin Category Choice)
Single Room Basic:
$0
Post-Tour:
$0
Including tip charge under Itinerary Section
Single Room Post-Tour:
$0
Cruise Only Credit:
$0
Applicable only if choosing the "No Air will be Provided" option under Itinerary Section
Domestic Departure City:
$0
Tour Cost Per Person:
$0
Travel Protection Plan:
$0
Total Cost Per Person:
$0
Total People Registering:
x 1
.Passenger(s)
Total Cost this Registration:
$0
PAYMENT INFORMATION
A Deposit of $500.00 Per Person ($500.00 Total) must be remitted in order to process this Travel Registration.
Form of Payment:
NOTE: If you are paying by CHECK, your deposit payment must be received in our office within 10 business days to avoid cancellation.

If Paying by Check, Please
Enter Your Check Number:

Make check payable to: Educational Opportunities Tours,
P.O. Box 6098, Lakeland, FL 33807

STATEMENT OF RESPONSIBILITY AND AGREEMENT
Enrollment in and payment of deposit constitutes your acceptance of the "Fine Print" of the brochure. Educational Opportunities Tours and Blue Diamond Travel are the tour operators and is soley responsible for the travel program. Educational Opportunities Tours is registered with the State of Florida as a Seller of Travel. Registration No. ST24130. CST2027682-40
EOT and BDT agree to provide the itinerary described in this brochure, no changes or deviations to the itinerary are effective unless approved in writing and signed by an authorized officer of the tour operator. Except as stated herein, no person is authorized to cancel, modify or vary the tour arrangements or to make any representation of warranty concerning the tour.
EOT and BDT reserve the right to refuse or revoke travel to anyone who is, in the sole judgment of EOT and BDT, incapable of group travel without causing undue demands upon the staff or other tour participants. Except where otherwise stated, EOT and BDT act only as an agent for the relevant supplier in securing hotels, transportation, and other travel services and in no event shall EOT or BDT be liable for failure by any such supplier to render any transportation, lodging or other travel service to be provided on the tour.
The passenger agrees that EOT and BDT assumes no liability for injury, death, damage, loss, accident, delay or irregularity which may occur by reason of any negligent or willful act or omission of any suppliers of service. EOT and BDT does not own or operate any of the suppliers of services to your tour. Similarly, without limiting the foregoing, passenger agrees to hold EOT and BDT harmless for any defect in any vehicle, plane, boat, bus, car, van or other vehicle, act of war or insurrection, terrorist activity, revolt or other civil uprising, military action, strikes or labor unrest or any Act of God or for any other act of any third party.
EOT and BDT does not accept responsibility for losses or additional expenses due to delay or changes in air schedules, hotel overbookings or other hotel related problems or other causes. All such losses or expenses will be the responsibility of the passenger. The right is reserved to make adjustments to the itinerary as deemed desirable to EOT and BDTand the right is reserved to cancel any tour prior to departure. EOT and BDT may not be held responsible for any loss or damage to luggage during the tour program. Enrollment in, payment of deposit and/or acceptance of final documents, vouchers, or tickets shall be deemed to be consent to the Program Conditions and Statement of Responsibility. Prices are based on tariffs in effect as of January 1 of the previous year and are subject to adjustment without notice in the event of any change or currency fluctuation.
It is agreed by and between the passenger and EOT and BDT that all disputes and matters whatsoever arising under, or in connection with or incident to the responsibilities of EOT and BDT shall be litigated in and before a court located in the State of Florida, USA to the exclusion of the courts of any other state or country. Florida law will be applicable to any dispute which arises out of/or concerns this brochure or your tour.
In the event that you cancel from this tour, cancellation penalties will apply as outlined in the tour brochure.
Except where otherwise stated, EOT acts only as agent for the relevant supplier in securing hotels, transportation and other travel services and in no event shall EOT be liable for failure by any such supplier to render any transportation, lodging or other travel service to be provided on the tour. EOT assumes no liability for injury, death, damage, loss, accident, delay or irregularity which may occur by reason of any negligent or willful act or omission of any suppliers of service. EOT does not own or operate any of the suppliers of services to your tour. Similarly without limiting the foregoing, passenger agrees to hold EOT harmless for any defect in any vehicle, plane, boat, bus, car, van or other vehicle, act of war or insurrection, terrorist activity, revolt or other civil uprising, military action, strikes or labor unrest or any Act of God or for any other act of any third party. Florida law will be applicable to any dispute which arises out of/or concerns this brochure or your tour.
All prices quoted are subject to change prior to payment in full due to currency fluctuations, fuel surcharge increases, government taxes and fees increases or unforeseen circumstances. In addition, you may be subject to a price increase after payment in full has been received due to potential government imposed taxes and fees.
By submitting this on-line registration, I/We certify that I have read the "Fine Print" of the brochure, understand its content, and agree to its terms including but not limited to the potential for price increases that may apply before payment in full has been received as set forth in the "Fine Print" of the brochure and potential price increases after payment in full has been received due to government imposed taxes and fees.
FIT TO TRAVEL STATEMENT: Passengers registering for the tour accept the responsibility for being in good health and able to walk and travel on the tour. Because many of the sites are not accessible to the physically challenged, those needing wheelchairs, oxygen, or other ambulatory assistance will find the tour extremely limiting in their experiences. If you have questions, please contact Educational Opportunities Tours, Inc. for more details.
You must be at least 18 years of age to accept this Agreement and Statement of Responsibility




All amounts listed are in U.S. Dollars


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