montauk france reg

Registration Form for
Montauk Teachers France
April 19-27, 2019

Please submit a separate registration for each traveler

After you complete and submit this form, you will automatically be re-directed to the Payment Page for secure online payment by credit or debit card. A $420 non-refundable deposit is required to reserve your space on this tour.

Montauk France

First Name

The name you enter above must be exactly as it appears or will appear on your passport.

Middle (if applicable)

Last Name

The name you enter above must be exactly as it appears or will appear on your passport.

Birth Date *

Month/Day/Year

Address *

Number & Street

City *

State/Province *

ZIP/Postal Code *

Country

If not USA

Phone *

I am *

Male

Female

Passport Number

If you do not have a passport at this time, please submit this form now and provide RMC with your passport information after you receive your passport.

Country of Issue *

Passport Issue Date

Passport Expiry Date

Your passport expiry date should be more than six months after the ending date of this tour.

I am requesting *

Single Accommodation

Double Accommodation

Triple Accommodation

Cabin request *

MAIN DECK CABIN & TWIN-BEDDED ROOM AT HOTELS

UPPER DECK CABIN & TWIN-BEDDED ROOM AT HOTELS

Limited availability

(Optional) My roomate will be:

RMC Travel will try to match you with a suitable roommate(s) if left blank and Double or Triple accommodation selected.

Optional Request(s)

Moulin Rouge Tour

Optional Message

If you require a special diet or have physical limitations that require special attention, please describe here. (Most situations can be accommodated, but we must know beforehand in order to make arrangements, and there may be additional costs.)

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Registration Form for Montauk Teachers France April 19-27, 2019

Registration Form for
Montauk Teachers France
April 19-27, 2019