Space Reservation for Upcoming Trips

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Trip Reservation Form (This is a Secure Form)

Note: If you are becoming a member and signing up for a trip at the same time, you only need to fill out this form.

General Information we need to know about you:

First Name:	(as it appears on your driver's license)
Last Name:
Nick-Name:	(Do you have a nick-name you'd prefer to be called by?)
Mailing Address:
City:
State:
Zip Code:
Country:
e-mail:	*(PLEASE verify your email address is correct)*
Home Phone:
Work Phone:
Date of Birth:	Month Year:
Any dietary issues we need to know about?	(list any dietary restrictions or state "none" )
Any mobility limitations we need to know about?	(list any mobility/walking restrictions or state "none" )
How did you hear about Women Traveling Together?

Tell us which trip you are signing up for, if you want a
room-share, and what optional costs we should include:

Name of Trip:

Trip Dates:

I have read and agree to the Travel Policies
Type "YES" if you have read and agree.

Do you want to share a room on this trip? Yes No (choose only one)
     If yes, do you want to room with a friend?
     What is her name:
                              (Roomsharing is arranged unless you specify another traveler
                               you want to room with, or choose "No." All shared rooms are
                              non-smoking.)

If this trip is an International Trip, what is your name as it appears on your passport: (Enter "No Passport" if you do not have one yet)

Tour Price (see itinerary):	$
Add on Costs: (see itinerary)
Single Room Cost:	$
Arrive a Day Early:	$
Other Add-on Costs (describe below):	$


Total Amount of Tour:	$
Amount Due Now:	$

Note: If your tour start date is 90 days or sooner
the TOTAL TOUR PRICE plus Add-on Costs are due at this time.
Otherwise....

Deposits for Continental US trips = $250.
Deposits for Alaska, Hawaii, Canada & International = $500.

Membership in Women Traveling Together (click here for benefits)

Choose ONLY ONE:

I am a current member of WTT

I am becoming a member of WTT** in conjunction with this space reservation so that I can take advantage of the member tour price and other benefits. I wish to join for:
1 year@$45 2 years@$80 3 years@$110

**About our auto-renewal Program:
As a service to our members, Women Traveling Together will email you 45 days before your membership is due to expire and give you the option to cancel. If you do not cancel, your membership will be renewed for the same amount and time period on your renewal date.

I do not wish to become a member of WTT at this time. (By choosing not to become a member, I am not eligible for the member price or other benefits.)

Payment:

This is a secure link. To submit this space reservation online,
you must provide your credit card information. Otherwise follow the directions further down to fax or mail in your reservation.

We accept MasterCard or VISA
Card Number: --- (Enter 4 digits per box)
Expires: MM YY
Card Verification Number: (the 3 digit code on the reverse side)

Is there anything else we need to know?

You will know that your space reservation was successfully sent to Women Traveling Together when you see:
"This page is your confirmation that your space reservation
has been received by WTT. Please print this page out and retain it for reference."

For Mailed or Faxed Space Reservations:
Print a copy of this page and fill out all the above information,
then provide your payment.

To pay by credit card, write in your card number and expiration date:

Card #: ________________________________ Expires: MM) ____ YY) ____

Signature: __________________________ (required if paying by credit card)

If writing a check, make it payable to: Women Traveling Together

Mail to: Women Traveling Together
               Trip Correspondence
               300 Crestview Lane, Suite 200
               Spartanburg, SC 29301

Or Fax: 1-864-949-0369

Got any Questions???     1-800-795-7135 in US
                                         1-410-956-5250 outside US

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All previous information has been superseded.