Borges-Nuccio Wedding Registration

Wedding Date:June 6, 2016
Hard Rock Hotel Punta Cana

By submitting this form, you are requesting a quote for a travel package to attend the destination wedding trip for William (Billy) Borges III & Kristen Nuccio in Punta Cana, Dominican Republic! Please fill out the form for the travelers who will be sharing a room.

Please indicate from which airport you will be originating if you wish to purchase airfare. You must choose to purchase or decline trip protection/travel insurance. Once this form is received, you will receive a customized quote from Ashley Machen of Treasure Travel. Once you make a final decision and approve the package, Ashley will provide you with the credit card authorization form to pay your deposit and book your trip. Final balance is due by March 18.

Please note, Ashley is currently based in Switzerland (7 hours later than New Orleans), and there may be a delay in your response. Thank you for your patience.

Travel Style:*

Lowest price possibleConvenience and valueLuxury

Departure City/Airport (type "NONE" if you prefer to book your own airfare)*

Air class

Coach1st/Business Class

Preferred Airline?

Departure Date*

MonthDayYear

Outbound Flight Preferred Departure Time

:HourMinutesAM/PM Option

Outbound Flight Preferred Arrival Time into PUJ

:HourMinutesAM/PM Option

Return Date*

MonthDayYear

Inbound Flight Preferred Departure Time from PUJ

:HourMinutesAM/PM Option

Inbound Flight Preferred Arrival Time Home

:HourMinutesAM/PM Option

Select Preferred Room Category (multiple selections allowed).

Caribbean Suite (at the secured group rates)Higher Category (rates and availability subject to current market price)

Bedding Requested (please note that staff will try to accommodate bedding requests, but they are not guaranteed)

One King BedTwo Double Beds

Airport Transfers (round-trip)

Shared Transfers (included)Upgrade to private transfers (+$70 per person)

Guest 1: Full name as it appears on passport*

First NameMiddle NameLast Name

Guest 1 Gender*

FemaleMale

Guest 1: E-mail*

Guest 1 Citizenship*

Street Address

Street Address Line 2

Country

Guest 1 Passport Expiration Date

MonthDayYear

Guest 1: Date of Birth*

MonthDayYear

Guest 1: Phone Number

Area CodePhone Number

Guest 1: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Guest 2: Full name as it appears on passport (if no name is entered, we will assume you are requesting arrangements for a single traveler)

First NameMiddle NameLast Name

Guest 2 Gender

FemaleMale

Guest 2 E-mail

Guest 2 Citizenship

Street Address

Street Address Line 2

Country

Guest 2 Passport Expiration Date

MonthDayYear

Guest 2: Date of Birth

MonthDayYear

Guest 2: Phone Number

Area CodePhone Number

Guest 2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Notes/Special Requests or Additional Guests

Disclaimer: Treasure Travel offers travel insurance/trip protection to protect you and your investment in the event of cancellation, trip delay, or emergency. Details below.*

We wish to protect our investment and PURCHASE travel insurance.We're NOT SURE yet if we wish to protect our investment.We have been informed of risks & benefits, and DECLINE insurance. We understand we're responsible for cancellation fees, medical expenses, etc.

Trip Insurance Plan - Air + Land

Hotel Only: 1-4 nights $59.99 per person; 5+ nights $89.99 per person
Hotel & Air: 1-4 nights $79.99 per person; 5+ nights $129.99 per person
Prices subject to change.

By purchasing our All-In-One Travel Protection plan, travelers can relax and have confidence in their vacation investment. If needed, travelers can cancel their trip for any reason. Simply call us at any time prior to departure to cancel and receive a refund, minus the cost of the All-In-One Travel Protection. Other benefits include the ultimate in "no fees" for vacation revisions, special hurricane protection, and during travel benefits such as 24-hour emergency assistance, baggage protection and more.

Post-Departure Travel Insurance Benefits underwritten by Transamerica Casualty Insurance Company (which is in the process of legally changing its name to Transamerica Casualty Insurance Company). Trip interruption/delay reimbursement, baggage protection, medical coverage, 24-Hour Worldwide Emergency Travel Assistance provided by On Call International, and more!*

* Please review the PlanDescription at www.funjet.com/plan-description or see more details under Travel Protection below.

Pre Travel Coverage: Benefits provided by Funjet Vacations

Cancel for Any Reason: The traveler may cancel for ANY reason prior to departure and receive a full refund less the cost of the All-In-One Travel Protection plan. This reimbursement even includes normally non-refundable airfares and the refund is always made back on the original form of payment.
No Revision Fees: Need to make a change? No problem! Any revision fees prior to departure for the FIRST instance are refundable including hotel, airline and any Funjet penalties, so the traveler won't be charged additional fees to make a change to the reservation. See below for more details.
Hurricane Protection: If a Category One or greater hurricane disrupts a vacation for 24 hours or more, travelers will receive a refund for unused or interrupted vacation nights plus a future vacation discount certificate. Valid for reservations departing June through November. See below for more details.

During Travel Coverage: Benefits underwritten by Transamerica Casualty Insurance Company

Trip Interruption - Reimburses (up to the total trip cost) unused hotel arrangements plus additional costs to change or purchase a new airline ticket if the traveler(s) can't travel due to circumstances such as illness or injury to traveler(s), a family member, or traveling companion, jury duty, subpoena, or a traffic accident on the way to the airport.
Travel Delay - Reimburses additional transportation costs or unused hotel arrangements should your flight be delayed 12 or more hours due to weather, strike or other job action, or equipment failure of an air common carrier. The plan reimburses you up to $500 ($100 per day) for the unused portion of your trip, additional accommodations, meals and "catch up" transportation expenses.
Emergency Evacuation - Arranges and pre-pays the cost of emergency medical transportation if a serious illness or injury occurs during your vacation that requires medical evacuation.
Medical Expense - Reimburses medical costs should you incur hospital charges or other medical bills as a result of an illness or injury during your vacation.
Baggage/Personal Property - Reimburses you for baggage or items lost, stolen, or damaged during your vacation.
Baggage Delay - Reimburses for the purchase of necessary personal items if your bags are delayed by the airline for 24 hours or longer. The plan covers you for the purchase of necessary items up to $200 ($100 per day) in the event your luggage is delayed by an air common carrier for more than 24 hours en route to your vacation.
Travel Accident Protection - Accidental death and dismemberment coverage in the event of loss of life or limb while flying.
24/7 Worldwide Emergency Assistance provided by On Call International - On Call International can provide you with help while you are away from home, should you experience an emergency while traveling.

This is a brief description of the insurance benefits and travel services provided. Travel insurance is underwritten by Transamerica Casualty Insurance Company, Columbus, Ohio; NAIC # 10952 (all states except as otherwise noted) under Policy/Certificate Form series TAHC5000. In CA, HI, NE, NH, PA, TN and TX Policy/Certificate Form series TAHC5100 and TAHC5200. In IL, IN, KS, LA, OH, OR, VT, WA and WY Policy Form #'s TAHC5100IPS and TAHC5200IPS. Certain coverages are under series TAHC6000 and TAHC7000. The Policy will contain reductions, limitations, exclusions and termination provisions. Full details of the insurance coverage are contained in the Policy. All coverages may not be available in all states. If there are any conflicts between this document and the Policy, the Policy shall govern in all cases. Aon Affinity is the brand name for the brokerage and program administration operations of Affinity Insurance Services, Inc. (TX 13695); (AR 100106022); in CA & MN, AIS Affinity Insurance Agency, Inc. (CA 0795465); in OK, AIS Affinity Insurance Services, Inc.; in CA, Aon Affinity Insurance Services, Inc. (CA 0G94493), Aon Direct Insurance Administrators and Berkely Insurance Agency and in NY, AIS Affinity Insurance Agency. Affinity Insurance Services is acting as a Managing General Agent as that term is defined in section 626.015(14) of the Florida Insurance Code. As an MGA we are acting on behalf of our carrier partner. For complete details regarding the terms, conditions and exclusions, please review the Plan Description at www.funjet.com/plan-description or contact Aon Affinity at 1-800-527-3522.

Benefits are extended, at no additional cost, to children under two years of age traveling with an accompanying adult(s) as long as ALL accompanying adult(s) purchase their own Travel Protection Program(s). All coverages, except Trip interruptions, are subject to a combined maximum benefit amount for the insured adult and covered children equal to twice the individual adult insured's limit.

A refund will be processed, less the cost of All-In-One Travel Protection to the original form of payment.

Borges Bash 2016 - Registration