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Women On A Roll Douro 2023 Special Hosted River Cruise
7-Night Portugal River Cruise October 21-28, 2023
Optional 3-Night Pre-Tour in Lisbon (10/18-21) and 1-Night Post-Tour in Porto (10/28-29)
This form is to allow you to provide Women On A Roll [WOAR] and TravelPerks, our official Travel Agency for this exclusive group trip, with your exact traveler information in an easy-to-follow format. Use of this form is 100% optional as we are always happy to talk with you and collect this information by phone or in person.
Gary Smith, owner TravelPerks, is personally coordinating the reservations for our private charter. You can reach him at woar@travelperks.com or 458-227-7774
We are SOLD OUT - You Can Use This Form to Register for the Waiting List. - Thank You.
Please ENTER FULL LEGAL Information (as it appears on your passport) for each traveler. No nicknames, initials, etc. unless that is how it appears on your travel documents (passports, etc.).
LEAD TRAVELER INFORMATION
First Name:
*
🛈
Middle Name:
🛈
Last Name:
*
🛈
Nick Name:
Gender
*
Male
Female
Date of Birth:
*
+
Citizenship:
*
Primary Phone:
*
Phone Type
*
Cell/Mobile
Home
Work
Other
Will this traveler be more than 23 weeks pregnant ANY TIME during the trip
*
Yes
No
I have special medical or dietary needs:
*
No
Yes
Yes
Vacation Insurance:
*
Yes, Protect Me & My Trip
I Need More Info
No, I Will Travel Without Travel Protection
Vaccination Status:
*
Yes, I am fully vaccinated
No, I'm not fully vaccinated, but will be by the trip
Lead Traveler Email:
*
Confirm:
*
Address • City, State, Zip
*
Is there a 2nd Traveler:
*
Yes
No
Registration via: TravelPerks •
woar
@travelperks
.com
• 458-227-7774