*Indicates a required field |
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| Personal Information |
| Trip Selection *: |
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| First Name*: |
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| Last Name*: |
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| Date of Birth (MM/DD/YY)*: |
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| Mailing Address* : |
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| State*: |
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| City*: |
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| Zip/Postal Code*: |
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| Country*: |
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| Evening Telephone: |
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| Daytime Telephone*: |
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| Email Address*: |
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| Nationality*: |
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| Passport Number*: |
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| Passport Expiration Date (MM/DD/YY) *: |
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| Medical/Dietary Restrictions/Special Requests: |
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| Travel Agent (if applicable): |
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| T-Shirt Size: |
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| Accomodation |
| Please Choose: |
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I will be traveling with a companion and will be sharing a room.
I would like single accommodations. A single supplement charge will apply.
I am traveling as a single, however I would like Steele Luxury Travel to match me with another single traveler. |
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I am a smoker |
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| Travel Companion |
| First Name: |
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| Last Name: |
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Room Type: Please indicate if you prefer one bed or two beds in your room.
One Bed
Two Beds |
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| How did you first hear about Steele Luxury Travel? |
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| Deposit/Payment Schedule |
- $500 deposit due upon reservation
- 14 days after reservation: 25% of full payment due
- 120 days prior: additional 25% of full payment due
- 90 days prior: full payment due
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| Cancellation Policy |
- 90 days +: $500 cancellation fee
- 60-90 days prior: 50% cancellation fee
- 30-60 days prior: 75% not refunded
- 30 days prior: no refund
We strongly recommend you purchase travel insurance. With our premium travel insurance, you may “cancel for any reason” up to two days prior to departure for a full refund. Click here to learn more about travel insurance.
I want to purchase travel insurance |
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For questions please do not hesitate to contact us at 646-688-2274 or info@steeletravel.com |
