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In order to best fulfill your travel needs, a profile of information must be gathered in order to ensure that the correct information is given to the airlines, cruise companies or tour companies. Please take the time to fill this form out and mail it or fax it (707) 402-6451) it to Your Travel Source. If you will be traveling with your passport, please make a copy of the name page from your passport and also send it with this form. If you are paying with your credit card, please make a copy of the front and back of the credit card and also attach it to this form. Thank you for your time as it makes our job so much easier to have the right information to give to the travel companies when getting quotes or making bookings for you plus the more we know about your travel desires, the better we can plan your itinerary. PLEASE FILL OUT THIS FORM FOR EACH TRAVELER IF YOU HAVE DIFFERENT ADDRESSES AND ARE USING SEPARATE CREDIT CARDS. |
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============================================================================ Name(s) as they appear on your passport. Passport #: _________________ Date of Birth: ____________ Sex: ___ Date of Issue: _________ Nationality: ________ Issued Where: __________ Date of Expiration: _____________________ Type of Passport: USA - Other _____________ Passport #: _________________ Date of Birth: ____________ Sex: ___ Date of Issue: _________ Nationality: ________ Issued Where: __________ Date of Expiration: _____________________ Type of Passport: USA - Other _____________ Seat Request: Window q Aisle q Aisle and Aisle q Meal Requests:_____________________________________ What type of hotels do you like to stay in? ________________________________________________________________ Where have you traveled before? _______________________________________________________________________ Wildlife Historical sights Hiking Walking Casinos Museums Shopping Markets Beaches Snorkeling Diving Surfing Live Aboards Sailing Kayaking Rafting Farmstays Birding School of the Air Royal Flying Doctor Service Houseboating Type of Credit Card: MC VI DI AX #: _______________________________________ VID: (3 digits) ___________ Expiration Date: _________________ Your name as it appears on your credit card: ________________________________ Your billing address & phone number: ___________________________________________________________________ |
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q I have read and understand the TCRC Disclosures below. Your Travel Source is a participant in the Travel Consumers Restitution Corporation (TCRC). Registration as a seller of travel does not constitute approval by the State of California. California law requires certain sellers of travel to have a trust account or bond. This business has a trust account. Our CST# is: 2037874-40. Right of California Customer to Make Claim on the California Restitution Fund All payments for transportation or travel service not provided to the passenger shall be promptly refunded, in accordance with the agreed-to-terms and conditions, unless the passenger otherwise instructs the seller of travel in writing. You, the passsenger, may request reimbursement from TCRC if you are owed a refund of more than $50 for transportation or travel services which was not refunded in a timely manner by a seller of travel who was registered and participating in the TCRC at the time of sale. The maximum amount which may be paid by the TCRC to any one passenger is the total amount paid on behalf of the passenger to the seller of travel, not to exceed $15,000. A claim must be submitted to the TCRC within six months after the scheduled completion date of the travel. A claim must include sufficient information and documentation to prove your claim and a $35 processing fee. You must agree to waive your right to other civil remedies against a registered participating seller of travel for matters arising out of a sale for which you file a claim with the TCRC, if you were located in California at the time of the sale. You may request a claim form by writing to : Travel Consumer Restitution Corporation, P.O. Box 6001, Larkspur, CA 94977-600l; or by faxing a request to: (415) 927-7698. Customers Located Outside of California This transaction is not covered by the California Travel Consumer Restitution Fund. You are not eligible to file a claim against that Fund in the event of this Travel Agency's default. |
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For more information please contact: |
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