Tour Registration Form

Booking Form

"*" indicates required fields

Tour or Package Requested*

Do you have a Niche or Departures Travel Advisor? If so what is their name?

Traveler Information

Name as per passport*

First Middle Last

Date of Birth

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone

Your Email*

Emergency Contact

Full Name

Relationship

Emergency Contact's Phone

Emergency Contact's Email

Requests

Share needed or Single Room (Single supplement required)

Dietary Requirements (if any)

Medical Needs (if any)

Insurance

All payments received are 100% non-refundable at any time. In the event of cancellation after final payment, all monies received are non–refundable. We highly recommend you purchase appropriate travel insurance to protect your investment. Emergency Medical Travel Insurance is mandatory on all out of country tours.

Insurance*

I have existing out of province medical coverage

Trip Cancellation insurance has been offered and declined

I would like a quote for travel insurance

Please select one of the following choices:

Signature

Please type your full name as official representation of your signature.

Signature Date

Please enter today's date.

Terms and Conditions

A full list of our terms and conditions can be found on our website at https://nichewomenstours.ca/terms-and-conditions/ Space is not guaranteed until deposit is received.

Agree to Terms and Conditions

I have read and understand the above mentioned terms and conditions and authorize Niche Travel to charge the non-refundable deposit and final payment to my credit card (Visa or Mastercard only for credit card payments).

I Agree

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Phone

This field is for validation purposes and should be left unchanged.