Sign-up Form FAM / Educational Tour 2016

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YES, I would like to join the 2016 FAM / Educational Tour, for travel agents only.

November 27 – December 4, 2016



Company Name*

Company Address*

Company Address (line 2)

Country*

Name participant*

Gender*

Age*

Position participant*

Telephone number*

Email address*

Website

IATA verification number with expiration date*

Virtuoso?
YesNo

If no, do you belong to another organization (e.g. Signature)?
YesNo

If, yes, which one?

 
Hereby, I authorize The Dutch Travel advisor to charge my international:
American ExpressMasterCardVISA

Credit card number*

Exact name on the card*

Expiration date*

Security code*

I hereby acknowledge the withdrawal of EURO 750 from my Credit Card*
 

Special needs regarding to food?

Any other required needs or comments?

Today's date*

 
* required fields



I hereby agree with the terms and conditions for this tour*