Global Conferences: Registration Form

Reserve your space by filling out the form below. If you specify below that you are traveling with one or more companions, you will be given the option to register them after you click the CONTINUE button. You may also wish to review the Terms & Conditions available at our download center.

* Required Field

Personal Information

Mr. Ms. Mrs. Dr. Br. Sr.
* First Name (as it appears on your passport):

* Last Name (as it appears on your passport):

* Address:

* City, State ZIP Code
,

* Home Telephone:

* Birthdate:

Email Address:

* Gender:
male female

Qualifications

* Group ID:
* I have registered participants on the following Travel & Company program(s):
* Total Number of participants:
I have registered my passengers by this date:
I have earned Global Conferences (Click here to check the charts.)

Conference Choice

In the unlikely event that your first choice is unavailable, we will contact you about an alternate choice.

Preferred Departure Date:

*If you are traveling on an Independent Travel Weekend in January 2010, please enter your preferred departure date. Choose any day in January 2010, excluding January 1st and 2nd:

Transportation

U.S. Departure City:

Please quote me a price from this alternate departure city:
Travel & Company cannot guarantee evening departures. Some destinations have restricted gateways. Please contact your Travel & Company Tour Consultant or call (800) 888-2247 for additional information.

Estimated travel time to departure airport:

Are you booking a connecting flight to your departure city? yes no

Rooming Choice

Guaranteed single accommodations are available for an additional $50 per night on all land overnights for GRTs; this does not apply to cruise overnights.
If you do not specify a rooming choice, you will be assigned a roommate.
Please book me in:
single room at $50 extra per night
double room, sharing with: 2 single beds 1 double bed
a triple room, sharing with: and

Optional Services

Extra Days (if available for your conference)
Please book me for extra day(s) at the beginning and/or extra day(s) at the end of my trip.
Travel & Company will bill me $50 per person for extending my ticket.

I will arrange my own accommodations for the extra days.
Travel & Company will provide accommodations for me based on:
Twin/double room at an additional $80 per person per night
Single room at an additional $130 per person per night

Protection Plan

Travel & Company requires that you accept/decline protection.

I am a 2009/2010 Travel & Company Group Leader and therefore covered by the Ultimate Protection Plan.
Yes. Sign me up for the Ultimate Protection Plan. I am not traveling on a 2009/2010 Travel & Company program as a group leader, and therefore am not covered by the Ultimate Protection Plan on this Global Conference. I would like the Ultimate Protection Plan for $25 per day (plus $100 surcharge for travelers age 66 and older). Please send payment to Travel & Company, 343 Congress Street, Suite 3100, Boston, MA 02210. (Full Protection Details)
Yes. Sign me up for the Comprehensive Protection Plan. I am not traveling on a 2009/2010 Travel & Company program as a group leader, and therefore am not covered by the Comprehensive Protection Plan on this Global Conference. I would like the Comprehensive Protection Plan for $15 per day (plus $100 surcharge for travelers age 66 and older). Please send payment to Travel & Company, 343 Congress Street, Suite 3100, Boston, MA 02210. (Full Protection Details)
No. I decline the additional coverage beyond the Basic Protection Plan. I am not traveling on a 2009/2010 Travel & Company program as a group leader, and thus am not covered by either the Ultimate Protection or Comprehensive Protection Plans on this Global Conference. (Full Protection Details)

Companion Information (if applicable)

Will you be traveling with companions?

If yes, please select your total number of companions. You will be given the option to register them once you click the CONTINUE button below.

Agreement

Submitting this registration form acknowledges your acceptance of the following:
I realize Travel & Company will make every effort to accommodate my first choice of Global Conference. I realize I will be offered the choice of an alternate trip or a cash option if my preferred trip is unavailable. I have read and agree to the Terms and Conditions at the download center, for these Global Conferences, including the terms of eligibility, companion trip fees and cancellation penalties. I understand that if I cancel my trip one month prior to departure, I will be subject to the penalties listed in the Global Conferences Terms and Conditions.
YES, I ACCEPT

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