GUEST REGISTRATION

Please complete the following information at least four weeks before your trip:
Today's Date:
Name of Tour:
Date of Tour:
Name 1:
Name 2:
Nationality:
Address (Street):
Address (City,ST,Zip):
Phone:
Passport No. 1:
Exp. Date:
Passport No. 2:
Exp. Date:
Birth Date 1:
Birth Date 2:
How many days:  
   
Departure City:
 Arrival City:
Accomodations:  
Single
Smoking:  
No
Hotel:
 Two Twin Beds
Add-On Options:
Name or Tour:
No
(PLEASE CONTACT TRAVEL THE HORIZON FOR PRICES AND ITINERARY FOR EXTENDED STAY PROGRAMS)
Any Special Dietary Requirements:
Air Seat Assignments:
Next To:  
Will you be celebrating any special occasions on the trip?
Will you be using mileage for your flights?
 No
(PLEASE ADVISE TRAVEL THE HORIZON OF YOUR AIR SCHEDULE SO THAT WE MAY ARRANGE YOUR TRANSFERS)
Would you like Travel The Horizon to arrange your air travel for you?
 No
IN CASE OF EMERGENCY DURING THE TRIP, WHOM DO YOU WISH US TO CONTACT?
Name:
Relationship to you:
Address (Street):
Address (City,ST,Zip):
Home Phone:
Work Phone:
Cell Phone:
Email:

Are you bothered by any of the following?: (ALL INFORMATION WILL BE KEPT CONFIEDENTIAL)
 Heart Problems    Respiratory Issues
 Diabetes / Difficulyt walking long distance s or climbing stairs
 Other:

Will you be purchasing Travel Insurance? (WE RECOMMEND THAT YOU TAKE TRAVEL INSURANCE.)
 Yes No  
(PLEASE CONTACT TRAVEL THE HORIZON FOR INSURANCE RATES)
Any additional Information:
SIGNATURE OF AUTHORIZATION:
DEPOSIT INFORMATION:
Amount:
Dep. Date:
Make checks payable to: TRAVEL THE HORIZON
Mail checks to: TRAVEL THE HORIZON:
TTN MELODY HAGERMAN,
8862 W. JEWELL PLACE
LAKEWOOD, CO 80227
(303) 932-2942 Office  • (888) 932-1587 Toll Free