Encore Tours

Prelude Registration

Music Travel and Music Educator Resources

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Please book me for _____ extra day(s) at the beginning and/or _____ extra day(s) at the end of my trip. Prelude Registration Form Please use blue or black ink, print in CAPITAL LETTERS and fill in circles completely. Do not staple anything to this form. Personal Information: Address City State Zip Code Home Telephone Encore mails your airline tickets via express mail. List an address where someone can sign for a package during the day. We cannot mail tickets to a P.O. Box. Email Mr. Ms. Mrs. Dr. Br. Sr. Gender: M F Transportation U.S. departure city _________________________________. Estimated travel time to departure airport ______ hrs. (Encore cannot guarantee evening departures.) I am booking a connecting flight to my Encore departure city. Please quote me a price from a departure city not listed (specify city): ___________________ Rooming Choice Please book me in a: 2 single beds 1 double bed Optional Services Encore will bill me $50 per person for extending my ticket. I will arrange my own accommodations for the extra days. Encore will provide accommodations for me based on: Twin/double room at an additional $130 per person per night Single room at an additional $210 per person per night Triple room at an additional $130 per person per night I have read and agree to the Terms and Conditions, including the terms of eligibility, companion trip fees and cancellation penalties. I understand that if I cancel my trip less than one month prior to departure, I will be subject to the penalties listed in the Terms and Conditions. Signature Date RETURN TO: Encore Prelude 343 Congress Street Suite 3100 Boston, MA 02210 Protection Plan: Encore requires that you accept/decline protection Yes: Sign me up for the Ultimate Protection Plan. Birthdate MM/DD/YYYY single room at $85 extra per night double room, sharing with ________________________________ / / Group # No P.O. Box Yes: Sign me up for the Comprehensive Protection Plan. No: I decline the additional coverage beyond the Basic Protection Plan. Middle Name First Name Last Name (AS IT APPEARS ON PAS S PORT) Please list number of companions you will be traveling with: Passport Info Passport Number Issue Date Expiration Date Country of Issue (See www.encoretours.com/go/prelude.cfm for list of US gateways.) 34591

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