Full Legal Name
Date of Birth
Address 1
Address 2
City, State & Zip
Home Telephone
Work or Cell Phone
E-Mail Address (required)
Referred By?
U.S. Citizen?
US Citizen?
YES
NO
If you are NOT a U.S. citizen, what is your citizenship status?.
Do you Plan on Using a US Passport on this Trip?
Select
YES I have a Valid US Passport
NO I plan on bringing a Birth Certificate / ID
Please indicate your rooming preference:
Select
Double (indicate Roommate Name below)
Triple or Quad (indicate names below)
Single ( roommate needed, please)
Single (no roommate needed!)
Select One
YES
NO
Traveling with Children under 12? If so, list names and ages in boxes below
ROOMMATE / CHILD INFORMATION (NOTE: Each person (except for children traveling with parents) are required to complete a separate registration form. Thank you!!!
D.O.B.
Legal Name
E-Mail
Phone
Which PACKAGE are you interested in reserving?
Select One
LAND ONLY Package (no rail)
FULL PACKAGE (includes rail)
Undecided (see below)
*** NOTE: If you marked UNDECIDED above, we will book you as a LAND package for now, and you can switch to RAIL / FULL PACKAGE before Final Balance 6/1/07.
What method do you plan on using for your first deposit?
Select One
Check
Money Order
Credit Card (3% fee applies)
Please note that all payments should be made payable to WEEBEE TRAVEL INC and send to P.O. Box 341124, Memphis, TN 38184. If you are paying by Credit Card, a 3% fee will apply. We will email you a credit card authorization form to fax back for this transaction. If you have any questions, please email us at info@weebeetravel.com, or contact us by phone, (866) 718-9760.
BEFORE YOU SUBMIT THIS FORM, check to make sure that all information is entered correctly including a VALID EMAIL ADDRESS & PHONE NUMBER. We will send you an acknowledgement within 48 hours of receiving this registration form. Thank you!