Registration Form

* Indicates required field

REGISTRATION FORM

Tour Name *

Tour Dates *

Last Name as it appears on your Passport *

Middle Name as it appears on your Passport *

First Name as it appears on your Passport *

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Residence Phone Number *

Cell Phone Number *

Work Phone Number *

Email *

TRAVEL INSURANCE *

Yes, I Want Travel Insurance No I DO NOT want Travel Insurance I'm not sure yet.

Need more information? *

Yes, please call me.

If double occupancy, list Roommate's Name *

Need a single room? (extra cost) *

yes no

Submit

Send in your deposit to sign up

Please send your initial deposit check for $250.00 (plus Travel Insurance, if desired) made out to "TLC Tours" and sent to: TLC Tours, 142 Winthrop Street, Medway, MA 02053.
Travel insurance must be purchased with initial deposit (if desired).