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Customer Booking Form
(Print one copy for each traveler. Sign and return this form with payment.)
Mail to: Student Travel Services, Attn Reservations, 1413 Madison Park Drive, Glen Burnie, MD 21061
Credit card payments may be faxed to 410-787-9580
Customer Information
First Name
Middle Name
Last Name
Phone ( )
Email
Birthdate ________/________/________ Sex:(circle) Male     Female
Country of Citizenship    USA   Other__________________
Document Type(circle) Passport       Birth Certificate
If Passport, Number
Address
City State Zip

List Roomates(full name):

Package Information
Res ID:
Hotel:
Occupancy (circle):  5   4     3     2    Other_________
(people per room)
Trip Dates* (circle):   2/19-26   2/26-3/5   3/5-12   3/12-19
    3/19-26   3/26-4/2   4/2-9   4/9-16  other_________
Departure City:
Price Per Person: $
Departure Taxes/Fees: $
Total Price: $
Travel Protection Plan:    (circle)   yes   no
(if no, do not include $49.00)		 $ 49.00
Total Price w/ Travel Protection Plan: $
TRIP OPTIONS
VIP Party Package    (circle)   yes   no +
Meal Plan    (circle)   yes   no +
Other options: -
Total Price Including Options: $
*STS reserves the right to use Fri/Sat/Sun Departures. See Tour Participant Agreement for package details


I understand that this trip is subject to the terms and conditions of the STS Tour Participant Agreement which I hereby acknowledge receiving and to which I agree to be bound. I further understand that Student Travel Services, as tour operator, and its employees and agents act solely as agents in arranging transportation & accommodations offered in connection with this travel package. In consideration for the promises contained in the tour participant agreement, I agree to indemnify & hold STS, its successors and assigns, harmless from and against any and all claims, demands, causes of action, damages, costs, liabilities, fees, penalties and expenses, including attorneys fees and costs, arising out of or resulting from my actions, including any misfeasance, negligence or intentional act or omission of mine, with respect to the trip described in this agreement. STS, its successors, assigns, officers, directors and agents, shall not be liable for any act, omission, injury to person or property loss, inconvenience, accident, delay, irregularity, negligence or default of any company, hotel, carrier company and/or their employees, servants or subcontractors providing any services, accommodations, or facilities in connection with this agreement except for its own gross negligence, willful misconduct or bad faith. STS will not be responsible for any actions including, but not limited to, (1) over booking by hotels, (2) missed connections to or from charter flights, (3) failure to follow instructions, including but not limited to check-in/check-out times, baggage handling and reconfirming bus/flight times.

SIGNATURE OF PARTICIPANT(must be signed by parent if under 18)

Name_______________________________________ Date________________

Tour participant: Make checks for charter programs payable to: National City Bank/STS Escrow. All other programs, make checks payable to STS/Student Travel Services. If payment is via credit card, complete the form below.
Credit Card Payment Form
I, the undersigned, hereby authorize $________ to be charged to my VISA MC AMEX DISCOVER
Card #_____________________________________________________ Exp Date_______________
for my Spring Break Vacation Package. I agree to settle disputes as outlined in this agreement and waive my chargeback rights. If payment is for more than one customer, please indicate breakdown on separate piece of paper.
I UNDERSTAND THAT THIS PAYMENT IS NOT REFUNDABLE.
Cardholder Name______________________________________
Billing Address_____________________________________________________________
Signature___________________________________Date_______________________