Adventures by the Glass

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 OUT Category B (French balcony) $3488 per person Category A (French balcony) $3548 per person Category S (Suite) $4748 per person

Bedding Request *

1 Bed 2 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 sure None, thank you

We would like assistance with air travel *

Yes No Not sure

Departure Airport

Passenger Details

Guest 1 E-mail *

Guest 1 Name as it appears on passport *

First Name Middle Name Last Name

Guest 1 Date of Birth *

Month Day Year

Guest 1 Gender *

Guest 1 Citizenship *

Guest 1 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Guest 1 Phone Number *

Area Code Phone Number

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

First Name Middle Name Last Name

Guest 2 Date of Birth

Month Day Year

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

Rhône River Wine Cruise - November 2016