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1
Name
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First Name
Last Name
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2
Address
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Street Address
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City
State / Province
Postal / Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
Email
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example@example.com
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4
Phone Number
*
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Please enter a valid phone number.
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5
Emergency Contact
*
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Name and Phone Number
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6
Additional Guests
Will there be any other guests joining you for this event? Please include: name, address, email, & phone number and who will be responsible for payment (i.e. yourself or your guest.)
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7
I acknowledge that all accommodations are double occupancy.
*
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All rooms include a shared double bed. (Note: European "double beds" are the equivalent of an American king.) We encourage you to bring a friend or family member to share the incredible experience of Tuscany!
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NO
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8
Does anyone in your party have a disability, medical condition, or reduced mobility that may require special care or attention?
It is extremely important you make us aware before booking, so that we can ensure the appropriateness of the trip as well as your safety. We will contact you prior to accepting your deposit to discuss in detail.
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9
Do you have any food allergies we need to be aware of?
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While we cannot guarantee no cross contamination, we are well versed in this area and happy to point you in the right direction!
YES
NO
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10
In a few words, please tell us about your faith journey and how we can pray for you as we prepare for our time together.
*
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11
What do you hope to take away from your experience?
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This particular detail is of utmost importance to us. In a dream scenario, what would you most love to walk away having experienced, learned, or achieved?
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12
Have you ensured your US passport is current and will be for the duration of travel?
*
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YES
NO
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13
I understand that I am required to sign a Release Liability Form & Waiver.
*
This field is required.
You will receive your Liability Form & Wavier upon booking.
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NO
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14
I understand that travel insurance is highly recommended, and it is my responsibility to book.
*
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If you need recommendations for booking travel insurance, we can help you!
YES
NO
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15
Will you be paying a deposit for your friend or family member?
*
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We will send out separate invoices to each traveler if you are not paying for them.
Please Select
No, I will only be paying my deposit.
Yes, I will be paying for my friend or family member.
Please Select
Please Select
No, I will only be paying my deposit.
Yes, I will be paying for my friend or family member.
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16
I understand my $895.00 deposit is non-refundable and will be applied to the total balance.
*
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The $895.00 deposit is non-refundable, as we are required to put deposits down on all our accommodations, transportation, events, tours, etc.
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NO
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17
I understand that my final payment in the amount of $4,600.00 is due on or before January 12, 2026.
*
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Various payment plans are available, and can be arranged upon booking.
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NO
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18
Cancellation Policy Acknowledgement
*
This field is required.
Travel Insurance will be incredibly beneficial if
you
need to cancel for any unforeseen circumstances. In the unlikely event
we
need to cancel or reschedule due to unforeseen circumstances and/or international travel restrictions, you will have the option to join us on a later rescheduled date and your payments credited. Or, you may simply request a full refund. However, please note, any prepaid expenses not covered in the event fee (i.e. airfare) you will be fully responsible for, which is why we highly recommend travel insurance. Please confirm you have reviewed our
Booking Terms & Conditions
which contain the full cancellation policy and agree to these terms.
I agree
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19
Booking Acknowledgement
*
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Once booked you will be notified by email. Payments will be made on our secure online invoice where your information is encrypted and Eden & Vine will never see your payment details. If you choose to make payment by credit card, the 3% transaction fee will be added to the payment due (i.e. deposit will be $921.85 instead of $895). You can also pay via ACH to avoid the transaction fees.
I agree
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20
Please verify that you are human
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