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TRIP DATE

DESTINATION

HOW MANY TRAVELING IN YOUR PARTY*

TRAVELING WITH*

PASSENGER NAMES*

PHONE (Please Check One)*

CONTACT NUMBER*

ADDRESS*

CITY, STATE, ZIP CODE*

EMAIL ADDRESS

PICK UP LOCATION*

BUS SEATING ** REQUESTS ARE NOT GUARANTEED ***

List friends that registered separately to be seated with you

PAYMENT OPTIONS*

PAYMENT BY CHECK

PAYMENT BY CHARGE CARD (3% Transaction fee Applies)

Card Number

Expiration Date

3 digit code

Charge Cards Only

I am allowing Garys Fun On Wheels Tours to charge my credit card for trip including a 3% convenience fee.(Excluding Cruises)

RESPONSIBILITY STATEMENT - Garys Fun on wheels tours,Lanoka Harbor,NJ, is not liable or responsible for the faults of vendors or persons providing services to carry out tour services, not responsible for parking issues,personal items, itinerary changes including cruises, hotel substitutions for the comfort & safety of the passengers. event or attractions as necessary, for any reason such as terrorism, weather, traffic, acts of god, strikes, nature or issues beyond the control of fun on wheels tours. I acknowledge that Fun on wheels tours and their directors, officers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of Fun on wheels tours.*

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