Dubai 2018 Tour Registration Form
Please fill in the form below.
Full Name - (as appears on Passport/Driver’s License)
*
Mr.
Mrs.
Prefix
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
MM/DD/YYYY
Gender
*
Male
Female
I understand that the name and birthdate I entered above must match the name printed on my passport or drivers license EXACTLY. I further understand that if it is incorrect, I maybe deny boarding and or charged an extra fee to correct my reservation.
*
Yes, I Understand
Do You Have A PassPort?
*
No
Yes
A valid passport is REQUIRED for this trip and must be good until Aug 7, 2019
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
E-mail - (This email will be use to send correspondence and payment information to)
*
Do You Have A Roommate? (if so please list their name)
List the First/Last name and email address. They will need to fill out their own Registration Form
Dubai 2018 Tour Options
*
4-Star Option ($1,455 per person-double occupancy)
5-Star Option ($2,295 per person-double occupancy)
Single Supplement (option in addition to the 4/5 star for single room)
Where you referred by a Travel Agent and if so list their name?
Travel Agent Name
You will receive a secure payment link via email within 24hours of submitting this form to pay your $100 non-refundable deposit.
Submit Form
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