Registration Form for Iceland Trip

ICELAND - September 5-13, 2023

Exclusive Small Group Iceland Adventure
Trip Cost Per Person (sharing double room) - $5,989

Supplement for Single Occupancy - $2,199

Price includes:

*Hotel Accommodation

- Sand Hotel Reykjavik (5 nights)

- Hotel Vik (2 nights)

- The Retreat at the Blue Lagoon (1 night)

*Transfer on arrival on September 5 to hotel

*All touring with licensed English Speaking Guide

*All entrance fee and activities

*Breakfast at hotels

*2 Dinners

*2 Lunches

*Tips to guide and bus driver

*Transfer to Airport on Departure on September 13, 2023

NOT INCLUDED:
- Your International Flights
- Travel Insurance * see below
- Meals not mentioned above
- Drinks at meals
- Any items not mentioned above
The trip will commence in Reykjavik on Tuesday September 5, 2023 and ends on Wednesday September 13, 2023.

Please book your flights to arrive in Iceland no later than noon on September 5 and to leave not before the afternoon on September 13.

If you need assistance with booking flights please contact liora@travelLulu.com

Arrive Early and/or Stay Longer

We can accommodate your pre/post tour arrangements if you decide to arrive early or stay after the trip ends.

Please contact your Travel Professional, Liora Cohen to facilitate your travel needs: liora@travelLulu.com or call 310 730 5500
Please use this form to sign up for the trip.

Please register with your full name/s exactly as they appear in your passport/s
Full Legal Name

First & Middle NamesLast Name
Date of Birth

MonthDayYear
Are you a U.S. citizen?
E-mail
Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address - if different to Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guest #2 Full Legal Name

First & Middle NamesLast Name
Date of Birth

MonthDayYear
Are you a U.S. citizen?
Use this area to list Special requests, health concerns or if you will be celebrating a special occasion during the trip.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Travel Protection Plan

Please send me more information and a price quoteI will secure my own plan and I will send a copy of the insurance to TravelLulu
Travel Insurance

It is an essential condition of your booking through Travellulu that you obtain medical and medical evacuation coverage for this trip. Comprehensive travel insurance, that covers you in case of cancellation or trip interruption is recommended. TravelLulu will not be responsible for any costs incurred by you or any member of your party before, during or after your trip as a consequence of inappropriate or insufficient travel insurance being purchased. Travellulu is not responsible for loss or injury to you or any of your belongings while travelling with Travellulu.
Registration for the trip will be on a first come first served basis and limited to 20 participants.

May 15, 2023 is the deadline to sign up for the trip and pay the deposit.
Trip Deposit - non-refundable and due no later than May 15, 2023

$1000 per person$2000 per couple

TO PAY YOUR DEPOSIT:

USDPlease insert the applicable amount

Credit Card

Balance of Trip Cost (land only) - due no later than July 15, 2023

$ 4989 per person x 2 = $9978 per couple$7188 if you are in a single$4989 per person if you are sharing and paying only your share
Use this area to let us know if you need our help with securing flights or additional hotel accommodation in Iceland or anything you want us to know.
Should you have questions or require assistance completing this form,

please call Liora PH: 310.730.5500 or Email:liora@travelLulu.com

www.travellulu.com
Should be Empty:

ICELAND - September 5-13, 2023

Please use this form to sign up for the trip.

Credit Card