Dordogne Registration

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 Room

(Optional) My roommate(s) will be:

I am taking the Land Only package and will provide my/our own transportation to Toulouse, France to meet the group at the start of the tour, which will end in Bordeaux NoYes (required)

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.
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