Trip Application Form--Please print out, complete and send to:
Art of Travel
Russia: Treasures of the Tsars–July 20-29, 2018
Full Name(s) exactly as on your passport_____________________________________________________
Home Telephone______________________ Cellular Telephone__________________________
Trip Price: $7990.00 Land only per person (double occupancy, 9 nights most meals)
Single Supplement: $¬¬¬¬¬1600.00
Would you like to pay extra for a single room, meaning you do not want a roommate? Yes______No_________
Optional International Air: Would you like us to book your air to Russia?Yes_____No_____
Rooming and Health Information
Do you have a roommate in mind? Yes____ No____ If so name of roommate____________________________
Would you like us to assign you a roommate? Yes______No_______
Full name on your passport_______________________________________________Date of issue__________
Date of Expiration_______Passportnumber___________________________________Country_____________
Your Date of Birth______________________Gender______________________
Your Country of Birth ___________________Citizenship ___________
Make sure you have extra blank pages on your passport. Visa for Russia will be required.
Emergency Contact Information ( In Case of an emergency, please notify)
Emergency Contact Name___________________________________Relationship________________
Payment Information by check or credit card
$700 per person deposit is due to confirm your space. Final is due May 15, 2018.
Art of Travel, LLC (email Susan Mammel for address: Email: [email protected] )
Credit Card Charge: You may use your credit card but a 3% surcharge will apply to amount charged.
Name on Card:_____________________________Type:_____Number___________________________
Signature (required to charge credit card):_________________________________________
Trip Cancellation/Interruption Insurance Information for your convenience:
Would you like to purchase group trip protection? Yes___No___ Your birth date is essential to purchase trip insurance. What is your date of birth?______________Insurance cost will range from $667.00 to$707.00. We need 10 for group.
Signature required to acknowledge the following Cancellation Terms & Conditions
Cancellation by Us: Art of Travel, LLC reserves the right to cancel this tour prior to departure if there are insufficient numbers of participants (12). In such case you will be notified February 1, 2018. If the group travels with fewer numbers, you will have the option to pay a supplementary fee. There is a $50 non-refundable fee after application is made. Art of Travel, LLC may decline to accept or retain any person as a member of the tour at any time.
Cancellation by You: Should you wish to cancel your tour, unless someone else fills your place, the following cancellation penalties apply:
90 days prior to trip results in loss of deposit, $700
90-45 days prior to trip results in loss of 15% of trip price
45-28 days prior to trip results in loss of 25% of trip price
28-14 days prior to trip results in loss of 50% of trip price
14 days prior or less results in loss of 100% of trip price
I understand and acknowledge these cancellation penalties_____________________________________Date______
Assumption of Risk Agreement Release and Acknowledgement (Read carefully before sig60ning): Of my/our own free will, I/we undertake our participation in the described itinerary. I/we will not hold Art of Travel, responsible for injuries, death, damages which may arise while I/we am/are on this trip. The undersigned has read the tour description and recognizes the risks thereof. In participating in this activity I/we do so at my/our own risk. I/we assume full responsibility for any and all injuries, death, or damages which may result from or arise out of my/our participation on the tour. I/we acknowledge that there may be delays, changes, closures or possible obstructions to portions of the itinerary, which cannot be prevented. Art of Travel LLC shall not be accountable for acts of God and circumstances beyond its control. Art of Travel LLC will make every effort to execute the itinerary as planned andreserve the right to make substitutions, as necessary in case of cancellations or unforeseen problems should they arise.
In witness whereof, I/we_____________________________________ have read, understood and execute this
Assumption of Risk Agreement, Realize and Acknowledge this ________ day of _______________, 2017/18.
After the tour has commenced, it is not possible to issue refunds for any unused portion of the tour; no refunds can be issued for occasional missed meals or sightseeing tours.
Please call us for complete list of Terms and Conditions for travel with Art of Travel LLC, or look in our website*.
In signing this reservation form, I/we accept the Terms & Conditions. We also declare that we have been offered trip cancellation/baggage insurance and that I/we will not hold Art of Travel, LLC nor its agents responsible for any expenses incurred.
$_____________ $7990.00 Land Only Package per person double occupancy
$_____________ $1690.00 Single Supplement if you want your own room.
$______________ Group trip Insurance is $667.00 per person. We need check for insurance at time of deposit.
$______________ $165.00 I would like to book a private car transfer from Moscow Airport to the hotel upon arrival.
$_______________ Total Due
_______________ Less my enclosed $700.00 deposit to hold my space
I will use my credit card and pay the 3% surcharge (check here for credit card use)_____yes
_______________ Balance Due May 15, 2018
Return this form with your check (or other) made out to Art of Travel, LLC
email [email protected] for the address
Please call us to verify we have received your form.
www.art-of-travel.com email:[email protected] Telephone 303 722 3818