Tahiti Windstar - July 3-10, 2025

Registration Form: One Form per Cabin

Sail Date/Itinerary: July 3-10, 2025, Pape'ete-Moorea-Raiatea-Motu Mahaea-Bora Bora-Huahine-Pape'ete
Passenger One: Name (as it appears on passport)*

First NameMiddle NameLast Name
Email*
example@example.com
I'd Like Extra Mile Adventures, e-mail newsletter

Yes, Subscribe Me! (watch your email to confirm subscription)No, Thanks!
Phone Number*
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Person in Cabin
Passenger Two: Name (as it appears on passport)*

First NameMiddle NameLast Name
Email*
I'd Like Extra Mile Adventures, e-mail newsletter

Yes, Subscribe Me! (watch your email to confirm subscription)No, Thanks!
Phone Number*
Birthdate*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Your Cabin Category:*
Bed Configuration Preference*
Insurance Needs/Vacation Protection: *
Once I have recieved your completed form, I will send you a secure credit card form for the deposit, which is 15% of your total cabin price, due at booking. The final payment is due 90 days before sailing. You may opt to make payments in between.

Please call/text/email with any questions you have for this amazing journey! I can also meet in person (I'm in Bothell) or via Zoom.

Kerri Kirshner

Extra Mile Travels

206-476-7467

Kerri@ExtraMileTravels.com
Should be Empty:

Registration Form: One Form per Cabin