Quincy Cork Delegation 2018 Air & Land Package - Feb Sat 24th - Mar Thu 1st Registration Form for Quincy Cork Delegation 2018 Contact DetailsName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Traveler InformationTraveler Name 1* First Last Please provide name exactly as it appears in your passport.Traveler 1 Date of Birth* MM DD YYYY Traveler 1 Gender*MaleFemaleTraveler 1 Preferred Room Basis*Single RoomSharing Twin Room (2 Beds)Sharing Double Room (2 Beds)IF REQUESTING TWIN ROOM, please provide the name of the traveler you will share with.The traveler named above should complete a booking form also.IF REQUESTING DOUBLE ROOM, please complete the following traveler information for your travel partner. First Last Please provide name of Traveler 2 exactly as it appears in their passport.Traveler 2 Date of Birth MM DD YYYY Traveler 2 GenderMaleFemaleBookings Terms & ConditionsWhen you submit this form to Cara Group Travel, a representative will be in touch shortly afterwards to follow up with a non-obligation quote based on your travel requests. It is important to note, the terms and conditions of this trip are as follows: Payment Schedule Airfare Payment: Non-refundable payment of $500 PP will be due to secure your air ticket and land reservation. Land Payment:Payment of $700 PP will be due on Wednesday January 17th 2018 to confirm your reservation. Payment Methods For any payments made by credit card, these can be made by calling our office (Quincy, MA) on 617-639-0273. Online payments can also be processed securely by requesting a link. Please advise your representative, who will contact you once this form is submitted, which you would prefer. Cancellation Policy and Penalties Airfare payment of $500 PP will be non-refundable once paid. Cancelation within 61-90 days prior to departure - $250 penalty Cancelation within 30-60 days prior to departure – 50% penalty Cancelation within 0-29 days prior to departure – 100% penalty Contact Details Should you experience any issues or have any questions about this trip, please do not hesitate to contact us on 617-639-0273 or email@example.com. I understand and agree to these terms and conditions. Signature* This iframe contains the logic required to handle Ajax powered Gravity Forms.