Travel Passport, LLC Future Tours
Please check which tours you would like
________________New York - June 4-9, 2019
Deposit $300.00 per person
________________Logan Opera Tour - July 11-13, 2019
Deposit $100.00 per person
________________The Great Canadian Rail Journey - July 15-17 ,2019
Deposit $250.00 per person
________________Alaska Cruise - August 17-24, 2019 with Holland America
Deposit $300.00 per person
________________Pacific Coast Cruise - October 7-13, 2019
Deposit $100.00 per person
________________Panama Canal Cruise - January 2-17, 2020
Deposit is 10% of cruise fare
________________The Oberammergau Passion Play and Highlights of Germany -
July 12-24, 2020
Deposit $250.00 per person
________________Viking West Indies Cruise - October 30 - November 7, 2020
Deposit $500.00 per person
OR fill in for cruises / tours not listed above:
(check) (Name of tour or cruise) (Date)
_________________ ________________________________ ____________________
Name___________________________________________________________________
(Please write your name exactly as it appears on your driver’s license,
or if overseas tour or cruise, your passport.
If pregnant, special cruise factors apply. Please let us know.
Address _________________________________________________________________________
City____________________________________State_____________Zip____________
Telephone home (______)______________________ Work (_______)______________
Cell Number (_______)____________________E-Mail__________________________
Birthdate ______________________________________________________________
Emergency Contact: _______________________________
Relationship: ___________________Phone number: (______)_____________________
Address: ______________________________________________________________
E-mail of Emergency Contact: _____________________________________________
If choosing a cruise, I would like a(n): Interior Stateroom ___, Ocean View Stateroom___,
Balcony Stateroom ___
I am requesting a: quad room ___, triple room ___, double room ____, single room ____
Roommate Name(s) _____________________________________________________
I want a room with 2 Beds ________________ 1 Bed_____________________
All requests to extend this trip either at the beginning or at the end
must be in writing.
______________________________________________________________________
I will be doing my own air. _______________
I realize that airport transfers to and from the hotel or cruise line may be
an additional charge. Yes _______________ No _________________
Passport Number ________________________________________________________
Passport Expiration Date: ________________________________________________
Are there any allergies, medical or dietary needs that we need to be aware of?________
_______________________________________________________________________
Do you need a handicapped room? Yes____________________ No____________
Please call with any questions you have at 800-677-4750 or 801-423-1081.
When ready to sign up for any trips please print out the form and mail
a check or call with credit card information.
You can use a credit card with any of the cruises.
The Credit Card will be charged by the cruise line.
Name On Credit Card _____________________________________________________
Credit Card Type, Visa, MC, AE, etc. _________________________________________
Credit Card Number _______________________________________________________
Expiration Date: _________________________________ CVC # ________________
Billing Address For Card: __________________________________________________
_______________________________________________________________________
Phone Number For Credit Card: __ __________________________________________
The other tours will need to be paid by check, cash, money order, etc.
Please make check out to:
Travel Passport, LLC
Fax: 801-423-1082
Mail to: P.O. Box 1336, Salem, UT 84653
E-mails: joantravelp@yahoo.com or carlatravelp@yahoo.com
