Reservation Form

Please fill in the following form, submit it and mail your deposit within 48 hours. A statement of account will be addressed to you a few days after we receive your deposit. Should you have any question do not hesitate to contact us. Use the comment field for questions or specifications such as: type of room, roommate's name, etc....

Please fill out the form accurately to the best of your knowledge. Your email is required, and you have to specify a tour number for the form to be accepted and processed successfully.

If you require any assistance, you can call 800-651-6262 to speak to us directly.

Email:

First Name:

Last Name:

Title:

Date of Birth :

Street Address:

Address (cont.):

City:

State/Province:

ZIP/Postal Code:

Country:

Work Phone:

Home Phone:

FAX:

Tour Information:

Destination:

Tour Name:

Tour Number:

Departure Date:

Group Name:

Questions or Comments:

Compulsory for all Penn State students. All Penn State students MUST complete the additional information below:
Penn State ID# :
Penn State Campus :
Professor in charge of your credit course:

EMERGENCY CONTACT INFORMATION while you are travelling:
Guardian, mother, father First Name:
Guardian, mother, father Last Name:
Relationship:
Phone Number:
Address1:
Address2:

Version: JAN 2008

Reservation Form

Tour Information:

Compulsory for all Penn State students. All Penn State students MUST complete the additional information below:

EMERGENCY CONTACT INFORMATION while you are travelling: