Italy’s Northwest Gems Registration Form

In order to confirm your participation on a Travels with Audrey small group Tour, please complete all sections below, or print, sign and return the Guest Registration Form and Liability Waiver and Release form using the following fax number 720 638 0878 or please scan the completed Guest Registration Form into an Adobe PDF or jpeg and email to travelswithaudrey@gmail.com (Please note that due to the very small group sizes, allocations will be given to early bookings and deposits received)

Once we have received your reservation request, we will be in touch with you to confirm availability and email you the payment details for your vacation. Upon receipt of your deposit, we will email you within 7 to 10 business days from the day the deposit is received an invoice that includes the balance due, due date and applicable discounts. A 20% of the overall tour price per person deposit is required to reserve your spot(s). For Customized Private tours a $700.00 non-refundable fee is required. Your deposit, not the fee, is credited against the total tour cost.

Please know that availability is on a first come-first served basis.

If you decide to add extra nights or additional services to your trip, you will see the updated balance when you receive your final invoice. Your balance is due 90 days prior to tour start date. I/We would like to participate in the Travels with Audrey 2016 / 2017 Tour(s) below (Please insert both the name and date of the tour you are interested in participating in below - For commencement dates please see our web site)

How did you find out about Travels with Audrey?

Optional Hotels
 Add a Pre-Tour Overnight Hotel Room before the Tour ‎Add a Post-Tour Overnight Hotel Room after the Tour‎

Additional Hotel Nights
 yes no maybe

Airport Transfers
 yes no

Please specify the CITY for your additional nights

Dates of additional nights

Extra Services and/or Activities you'd like to add to your Tour

Please let us know how many, and what size beds you will need

We will be in touch with you and send you a quote on airport transfers, extra nights and any additional services you request for your trip. Please be aware that your request for additional nights is based on hotel availability. Checking “yes” does not confirm a reservation for additional nights. The sooner we get your request the more likely we will be able to reserve the same hotel that is included in your stay during the tour. However we cannot guarantee a room at the same hotel. If the same hotel does not have availability, we will book a nearby hotel with the same quality and level of service. We will inform you as soon as possible whether additional nights have been confirmed or not. Rates are subject to change.


Number of Guests on this payment (in your group)

GUEST # 1

First & Last Name (as it appears on passport)

Preferred Name

Mailing Address

Street Address

City

State/Province

Postal Code / Zip Code

Country

Primary Phone Number

Alternative #/ Work Phone / Cell Phone

Email Address

Please provide a valid email address. Travels with Audrey sends out confirmations, reminders, your receipt, you pre tour information and other important notices by email.

My emergency contact is

Emergency Contact Phone

Relation

Any Dietary Requests or Allergies? (special dietary request i.e. vegetarian, vegan, gluten free, no alcoholic beverages or allergies i.e. shellfish, nuts etc.)
 yes no

Please list any food related allergies, dietary needs


If you do NOT list your allergies or dietary restrictions at this time, we may not be able to accommodate you during the tour. Please note that Travels with Audrey may not be able to accommodate all dietary requirements.
Please read Terms & Conditions for more information.

Special Occasion

Are you planning on purchasing travel insurance for this trip?
 yes no

Travels with Audrey strongly recommends purchasing travel insurance. Please be aware that responding yes or no does not affect Travels with Audrey’s Terms & Conditions nor its Cancellation Policy. By declining the opportunity to purchase travel insurance you are fully responsible for the land tour vacation should you have to cancel or cannot be at the point of tour start. Response is MANDATORY

 I am/We are DECLINING the opportunity to purchase travel insurance for our vacation as recommended by Travels with Audrey and I am/We are fully aware of all cancellation penalties and consequences that could be incurred I am/We are SECURING travel cancellation and interruption insurance

GUEST # 2

First & Last Name (as it appears on passport)

Preferred Name

Mailing Address

Street Address

City

State/Province

Postal Code / Zip Code

Country

Primary Phone Number

Alternative #/ Work Phone / Cell Phone

Email Address

Please provide a valid email address. Travels with Audrey sends out confirmations, reminders, your receipt, you pre tour information and other important notices by email.

My emergency contact is

Emergency Contact Phone

Relation

Any Dietary Requests or Allergies? (special dietary request i.e. vegetarian, vegan, gluten free, no alcoholic beverages or allergies i.e. shellfish, nuts etc.)
 yes no

Please list any food related allergies, dietary needs


If you do NOT list your allergies or dietary restrictions at this time, we may not be able to accommodate you during the tour. Please note that Travels with Audrey may not be able to accommodate all dietary requirements.
Please read Terms & Conditions for more information.

Special Occasion

Are you planning on purchasing travel insurance for this trip?
 yes no

Travels with Audrey strongly recommends purchasing travel insurance. Please be aware that responding yes or no does not affect Travels with Audrey’s Terms & Conditions nor its Cancellation Policy. By declining the opportunity to purchase travel insurance you are fully responsible for the land tour vacation should you have to cancel or cannot be at the point of tour start. Response is MANDATORY

 I am/We are DECLINING the opportunity to purchase travel insurance for our vacation as recommended by Travels with Audrey and I am/We are fully aware of all cancellation penalties and consequences that could be incurred I am/We are SECURING travel cancellation and interruption insurance

GUEST # 3

First & Last Name (as it appears on passport)

Preferred Name

Mailing Address

Street Address

City

State/Province

Postal Code / Zip Code

Country

Primary Phone Number

Alternative #/ Work Phone / Cell Phone

Email Address

Please provide a valid email address. Travels with Audrey sends out confirmations, reminders, your receipt, you pre tour information and other important notices by email.

My emergency contact is

Emergency Contact Phone

Relation

Any Dietary Requests or Allergies? (special dietary request i.e. vegetarian, vegan, gluten free, no alcoholic beverages or allergies i.e. shellfish, nuts etc.)
 yes no

Please list any food related allergies, dietary needs


If you do NOT list your allergies or dietary restrictions at this time, we may not be able to accommodate you during the tour. Please note that Travels with Audrey may not be able to accommodate all dietary requirements.
Please read Terms & Conditions for more information.

Special Occasion

Are you planning on purchasing travel insurance for this trip?
 yes no

Travels with Audrey strongly recommends purchasing travel insurance. Please be aware that responding yes or no does not affect Travels with Audrey’s Terms & Conditions nor its Cancellation Policy. By declining the opportunity to purchase travel insurance you are fully responsible for the land tour vacation should you have to cancel or cannot be at the point of tour start. Response is MANDATORY

 I am/We are DECLINING the opportunity to purchase travel insurance for our vacation as recommended by Travels with Audrey and I am/We are fully aware of all cancellation penalties and consequences that could be incurred I am/We are SECURING travel cancellation and interruption insurance

GUEST # 4

First & Last Name (as it appears on passport)

Preferred Name

Mailing Address

Street Address

City

State/Province

Postal Code / Zip Code

Country

Primary Phone Number

Alternative #/ Work Phone / Cell Phone

Email Address

Please provide a valid email address. Travels with Audrey sends out confirmations, reminders, your receipt, you pre tour information and other important notices by email.

My emergency contact is

Emergency Contact Phone

Relation

Any Dietary Requests or Allergies? (special dietary request i.e. vegetarian, vegan, gluten free, no alcoholic beverages or allergies i.e. shellfish, nuts etc.)
 yes no

Please list any food related allergies, dietary needs


If you do NOT list your allergies or dietary restrictions at this time, we may not be able to accommodate you during the tour. Please note that Travels with Audrey may not be able to accommodate all dietary requirements.
Please read Terms & Conditions for more information.

Special Occasion

Are you planning on purchasing travel insurance for this trip?
 yes no

Travels with Audrey strongly recommends purchasing travel insurance. Please be aware that responding yes or no does not affect Travels with Audrey’s Terms & Conditions nor its Cancellation Policy. By declining the opportunity to purchase travel insurance you are fully responsible for the land tour vacation should you have to cancel or cannot be at the point of tour start. Response is MANDATORY

 I am/We are DECLINING the opportunity to purchase travel insurance for our vacation as recommended by Travels with Audrey and I am/We are fully aware of all cancellation penalties and consequences that could be incurred I am/We are SECURING travel cancellation and interruption insurance

Terms & Conditions

 I have read and understood the Terms and Conditions and fully accept them.Download and print the Terms & Conditions file

 I accept the Travels with Audrey Liability Waiver.(Please physically sign and return via Fax at 720 638 0878 or scan/email back to travelswithaudrey@gmail.com.)
Download and print the Travels with Audrey Liability Waiver and Release file