TourMagination - Registration Form

9 Willow St., Waterloo, ON, Canada N2J 1V6
Phone: (519) 885-2522 Fax: (519) 885-0941
Toll Free: 1-800-565-0451 Email: This email address is being protected from spam bots, you need Javascript enabled to view it

Tour: _________________________________________________________________
Tour Date: _____________________________________________________________
Name: _____________________________	Name: ____________________________

(names as they appear on your passport)

Address: ________________________________________________________________

City: _________________________ State/Prov: ____________ Zip/Postal: __________

Phone Home:	______________________	Phone Work:	______________________
Email: _____________________________		Email: _____________________________
Date of Birth:	______________________	Date of Birth:	_____________________
	mm dd yy		mm dd yy

FOR SINGLE TRAVELLERS:

I will share a twin room with ____________. I wish to have single accommodation at a supplemental cost._____.
I would like to consider sharing a room with another tour member. YES ____ NO ____

NOTE: TourMagination will provide names and phone numbers for exchange to registrants seeking a roommate. If your traveling companion cancels, or if you are unable to find a roommate, you must pay the single supplement.

TRIP CANCELLATION AND INTERRUPTION, AND EMERGENCY MEDICAL INSURANCE is not mandatory, but highly recommended. This should be purchased at time of registration. TourMagination offers packages which cover trip cancellation before departure and interruption after departure for medical reasons or due to a death in the immediate family, prepaid expenses incurred by the tour operator, emergency medical, subsistence allowance, transportation of deceased, flight accident, travel accident, damage, loss or delay of baggage and personal effects. Complete details of coverage and exclusions are included in the policy. The premium is determined by the length of trip, individual’s age, the insured amount of the trip, and is non refundable after cancellation penalties go into effect at 120 days prior to departure.

Please call our toll-free number, 1-800-565-0451, or email us at This email address is being protected from spam bots, you need Javascript enabled to view it for more information and/or a premium rate prior to sending in your registration. The premium can be charged to your credit card or paid by personal check/cheque.

Please indicate which insurance policy you wish to purchase.
Deluxe Package ______ Non-medical Package _____

If you choose NOT to purchase the insurance offered, please sign the waiver below.

I DECLINE to purchase the Comprehensive Travel Insurance package that TourMagination has offered and explained to me. Consequently, TourMagination will not be held responsible for any expenses incurred from any sources as a result of my decision.

Client’s Signature ______________________________________ Date _____________________

Enclosed is my deposit check/cheque payable to TourMagination. $______________ ($300.00 US or $400.00 CDN per person)

Please debit my credit card. Tour Deposit ____ Insurance Premium ____

Credit Card - (circle one) VISA Mastercard American Express

Credit Card No. _______________________________ Expiry Date __________________

TourMagination
9 Willow St., Waterloo , ON N2J 1V6
Canada