World ViewZ Media
90 El Camino Grande Sedona, AZ 86339 Phone: 928.274.7223
“Southwest Orion Correlation Expedition”
with Robert Bauval & Clifford Mahooty
May 31 - June 6th
Please Read the Entire Form First
Your Signature or Initials are Required in several places.
PLEASE NOTE: A MINIMUM OF 10 PARTICIPANTS ARE REQUIRED FOR THIS JOURNEY
Mailing Address: ____________________________
Country: __________Zip Code: ________________
Daytime Phone___________ Evening Phone: ____________
Email Address: ________________________________________
Name you like to be called: ________________________________
Name as it appears on your Passport if you are an international travelers only:
_____________________________________________ Passport Number: _________________
Place of Issuance: _________
Birth Date: _______________
Trip Cost: $2,365.00 if paid by credit card or bank transfer. Paid in full by April 30th, 2017 unless otherwise arranged.
Included: Double Occupancy accommodations, transportation from May 31- June 6, entrances, meals as listed on the itinerary, guide fees.
Not Included: Some meals as listed on the itinerary, items of a personal nature, soft drinks, alcoholic beverages, laundry and gratuities for your guides and drivers.
Deposit: A $500.00 Non-Refundable Deposit must accompany your registration or you may pay in full to reserve your space.
Payment in full is required by April 30th, 2017 to attend this trip unless otherwise arranged. (No refunds after this date.)
____I am sending my $500.00 deposit now and the balance to be paid by April 30th, 2017.
___ BANK TRANSFER:
I will be making a bank transfer in the amount of __________ on___________(date).
Please email us for bank transfer information: email@example.com this is mainly for overseas visitors if they do not have a payment method online.
____ OPTION 3 CREDIT CARD PAYMENTS:
Credit Card Information:
Name on card: ___________________________________________________
Visa/MC/AE #: ___________________________________________________
Expiration: ________________ 3-Digit Security code ________
Amount to be charged:
For assistance please contact Robert @ 928.274.7223
All checks and monetary documents should be made payable to:
World ViewZ Media and sent to
90 El Camino Grande, Sedona, AZ 86339.
Accommodations are Double Occupancy unless you have indicated otherwise.
If you do not have a roommate we will select someone for you.
If the group numbers are such that there is no roommate available we will ask that you pay the single supplement rate which is$365.00 additionally.
Are you a smoker? ____ Yes ____ No
Do you snore ? ____ Yes ____ No
Are you a vegetarian? ____ Yes ____ No
Do you have diet restrictions and if so what? ________________________________________________________
I have physical limitations that may require special attention:
_____ yes_____ no
If Yes, please describe completely. (please let us know of anything that might be of concern)
Emergency Contact Information:
(Your Initials are Required here)
Terms and Conditions:
By initialing the following "Tour Conditions" I indicate that I have read the tour conditions and agree to comply. ___________ initial here
Please sign the form at the end of this document.
If you have any questions, please contact World ViewZ MediaRobert @ 928.274.7223 or email at: firstname.lastname@example.org
PLEASE REMEMBER TO INCLUDE YOUR SIGNED COPY OF THE TOUR CONDITIONS WITH YOUR REGISTRATION FORM…
Tour Conditions: (the small print) PLEASE READ CAREFULLY. Your signature is required at the end.
CANCELLATION AND REFUNDS: All cancellations must be made in writing to World ViewZ Media. All tours are subject to the following cancellation charges. $500.00 non-refundable deposit. Balances are to be paid by April 30th, 2017. No refunds after March 4th, 2017 for any reason.
THERE WILL BE NO REFUNDS WHATSOEVER, FOR ANY REASON, after March 4th, 2017
YOUR DEPOSIT AND FUNDS PAID ARE NOT TRANSFERRABLE.
Once tour has commenced there will be no refunds for any unused or partially used tour features. In all cases, cancellations fee do apply and are non-refundable for any reason, including sickness, or other emergencies. We recommend purchasing travel insurance to cover any emergency cancellations.
TOUR COST DOES NOT INCLUDE: Some meals as listed on the itinerary, items of a personal nature, soft drinks, alcoholic beverages, laundry and gratuities for your guides and drivers.
GRATUITIES: We recommend setting aside $10 a day for your guides, drivers, etc.
BAGGAGE: You will be allowed 1 suitcase and 1 backpack or purse.
Additional luggage can be stored at our office location in Sedona and picked up at the end of the trip.
RESPONSIBILITY: World ViewZ Media and its agents, Robert Dakota, Yuko Ito, Gathering Light Journey’sand vehicle drivers, and guides, act only in the capacity as an agent for the passengers in all matters connected with lodging and accommodations, sight-seeing tours and transportation, whether by air, train, cruise, motor coach, motor vehicle, and any other means of conveyance including horseback, helicopter and footpath/trail, and shall not be responsible or liable for any injury, loss, accident, delay or irregularity or incident resulting from strikes, weather, government regulation, acts of war, Acts of God; nor shall they be responsible for any damage or loss of luggage for any reason during the course of the trip, or act or omission of any individual or organization providing the transportation, services or accommodations in connection with these arrangements, nor for any delay or expense incurred due to disruption or revision of schedules, nor for any cause beyond its own control.
The right is reserved to World ViewZ Media, to withdraw a tour, or decline to accept or retain any person as a member of the tour at any time, or to make changes in the published itinerary whenever in their sole judgment, conditions warrant or if they deem necessary for the comfort, convenience, or safety of the passengers. World ViewZ Media shall have the right at any time at its discretion to cancel any tour or the remainder thereof or make any alteration in route, accommodation, price, or other details, and in the event of any tour being rendered impossible, illegal, or inadvisable by weather, avalanches, strike, war, governmental interference or any other cause whatsoever. Any extra expenses incurred as a result thereof shall be your sole responsibility. All prices are based on tariffs and exchange rates in effect on March 4th, 2017, and are subject to change in the event of an adjustment therein.
If costs do fluctuate due to circumstances beyond our control, we reserve the right to alter our quoted price to you. Acceptance of any travel plan shall be deemed to constitute acceptance of this limitation of responsibility.
The person making any booking will, by the making of such booking, warrant that he or she has authority to enter into a contract on behalf of the other person/s included in such a booking and in the event of the failure of any or all of the other person/s so included to make payment, the person making the booking shall by his/her signature thereof assume personal liability for the total price of all bookings made by him/her.
INSURANCE: You must take out comprehensive insurance coverage before travel for cancellation, medical expenses, personal baggage and money. This should be arranged at the time of payment of the deposit or payment in full to cover you for cancellation after that time.
TRAVEL INSURANCE to include medical coverage is required.
Travel Insurers in the U.S.
Access America (804) 285-3300 or (800) 284-8300
Travel Guard International (715) 334-0505 or (800) 826-1300
Also check AAA or American Express
I have read and fully understood the terms and conditions of this agreement.
Signature: PLEASE SIGN AND THEN PRINT YOUR NAME.
Email or Snail mail this form to email@example.com with your deposit or payment in full. Thank you.
Email Address: firstname.lastname@example.org
Mailing Address: World ViewZ Media, 90 El Camino Grande, Sedona, AZ 86339