Faith Based Sign Up Form


YOUR INFORMATION:

Clearly print your full name (first/middle/last) as it appears on your passport.

First:________________________ Middle:_______________________ Last:___________________________ Suffix:_______

Nickname:___________________
Gender: ( )Male ( ) Female
Date of Birth: (month/day/year)_________________

Address:_____________________________________ City: ____________________
State: __________ Zip Code:_____________

Phone: ( )__________________ Cell: ( )___________________
Email Address: _________________________________

Passport Number: _____________________ Expiration Date: (month/day/year)__________
Date of Issuance: __________________

City, State, Country of Issuance:________________________________________________ Citizenship:______________________

Emergency Contact:_________________________________________ Phone: ( )____________________________________

Other than traveling companion please.

Room Preference: _________ Double Room sharing with ___________________________________(Roommate)

__________Single Room

Departure Airport: _____________________________ Pricing for departures other than from Houston upon request. If you have not purchased air through Adonde Travel and wish to purchase airport transfers, you must transfer at our pre-scheduled time.

Air Seat Request: ( ) Aisle ( ) Window ( ) Next to Traveling Companion _________________________(Name).

Adonde Travel cannot guarantee your seat preference

Form of payment by check only. Please make checks payable to: Adonde Travel, Inc.

Deposit Amount: $______________ Total amount enclosed: $__________

*Important Conditions: All prices are based on currency rates of exchange in effect at the time of printing. They are subject to change without prior notice due to currency fluctuation. Your price is not subject to increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees. Please read our Terms and Conditions for complete details of our change and cancellation policies at www.adondetravel.com .