Adventures by the Glass

Rhône River Wine Cruise - November 2016
Trip Dates: November 18 - 25, 2016. Optional pre- and post- tour available.

We're excited you'll be joining us! Please fill out the form below to register for this unique wine cruise. Questions? Contact ashley@trytreasuretravel.com or 1-888-484-2165.
Type of Cabin (based on double occupancy, rates below reflect $750 discount available through Mar 31)*

Category E (window) $2349 per person - SOLD OUTCategory B (French balcony) $3488 per personCategory A (French balcony) $3548 per personCategory S (Suite) $4748 per person
Bedding Request*

1 Bed2 Beds
We would like to add pre/post hotel nights or tour extensions (if Yes, please explain in comments section)*

Barcelona & Paris ($1800 pp)Just Barcelona ($900 pp)Just Paris ($900)Something else or not sureNone, thank you
We would like assistance with air travel*

YesNoNot sure
Departure Airport
Passenger Details
Guest 1 E-mail*
Guest 1 Name as it appears on passport*

First NameMiddle NameLast Name
Guest 1 Date of Birth*

MonthDayYear
Guest 1 Gender*
Guest 1 Citizenship*
Guest 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Guest 1 Phone Number*

Area CodePhone Number
Guest 2 Name as it appears on passport (leave blank if booking a single cabin)

First NameMiddle NameLast Name
Guest 2 Date of Birth

MonthDayYear
Guest 2 Gender
Guest 2 Citizenship
Guest 2 E-mail
Comments
By submitting this form, I agree to pay the non-refundable $400 per person deposit (credit card authorization form will be supplied). I have read all the terms and conditions as provided.*

I agree.
I have read the travel insurance information provided by Treasure Travel (http://www.tripmate.com/wpF441G/why). I understand the benefits of insurance including emergency medical/dental coverage, emergency evacuation, cancelation protection, trip delay, and more. I understand that an insurance policy will protect me, my travel companions, and my investment. I understand that the cost of the insurance at $208 per person is due at booking and is non-refundable. My decision is as follows:*

PURCHASE travel insurance ($208 per person)DECLINE travel insurance
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Rhône River Wine Cruise - November 2016