England reg

Online Registration and Payment by check or credit card for
WALES & LONDON
April 22 to 29, 2016

Please fill out a separate registration for each traveler

 

    NOTE: The name you enter below must be exactly as it appears or will appear on your passport. If you do not have a passport at this time, please submit this form now and provide RMC Travel with your passport information after you receive your passport. Your passport expiry date should be more than six months after the ending date of this tour.

    First Name as it appears on passport (required)

    Middle Name as it appears on passport (if applicable)

    Last Name as it appears on passport (required)

    Passport Number

    Country of Issue (required)

    Passport Issue date

    Passport Expiry date

    Date of Birth (required)

    Country of Birth (required)

    Mailing Address (required)

    City (required)

    State/Province (required)

    ZIP/Postal Code (required)

    Telephone (required)

    Your Email (required)

    I am: FemaleMale

    I want a (required): Single RoomDouble RoomTriple Room

    (Optional) My roommate(s) will be:

    If you have any special requests, such as a special diet or physical limitations, please describe them below...

    Optional Message

    I understand that RMC highly recommends the purchase of Trip Cancellation Insurance, and our preferred Insurance provider is Allianz.

    (required) I understand and accept the Terms and Conditions for this program.
    For security, please enter the following characters in the space below: captcha

    After clicking, please wait to be re-directed to another page to make your secure online payment via PayPal or instructions for sending payment by check.
    (You do not need a PayPal account. You only need a VISA, MasterCard, American Express, Discovery, or debit card.)

    If you don’t want to register now but just want information on paying by check or credit card, CLICK HERE.