Make A Reservation Traveler Information Traveler #1 First Name* Traveler #1 Last Name* Traveler #1 Date of Birth* MM DD YYYY Gender* Male Female Traveler #2 First Name Traveler #2 Last Name Traveler #2 Date of Birth MM DD YYYY Gender No Traveler #2 Male Female Need to add additional Travelers? Yes No Traveler #3 First Name Traveler #3 Last Name Traveler #3 Date of Birth* MM DD YYYY Gender Male Female Contact Information Address* Address must match billing address of the credit card being used for initial payment below. Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Primary Phone* Alternative Phone Traveler Email Address* Alternate Email Address Tour Options 2015 SVALBARD ARCTIC TOTAL SOLAR ECLIPSE TOUR INITIAL PAYMENT* This is your advance payment to secure your space on our tour. An initial payment is required for EACH Traveler. Svalbard Arctic Total Solar Eclipse Number of Travelers* 1 2 3 Add-ons (Optional) Oslo Pre-tour Hotel Packages* If you’d like to arrive in Oslo a night or two ahead of our Svalbard departure, TravelQuest has reserved a limited number of standard rooms at the Radisson Blu Airport Hotel. Cost: $220 USD per person, per night double occupancy. $345 USD per person, single occupancy and $260 USD per person triple occupancy . Rates include breakfast and tax. No, thank you. Single Occupancy – 1-Night Package – March 16, 2015 – Oslo – $345 (no deposit required) Double Occupancy – 1-Night Package – March 16, 2015 – Oslo – $440 (no deposit required) Triple Occupancy – 1-Night Package – March 16, 2015 – Oslo – $780 (no deposit required) Single Occupancy – 2-Night Package – March 15-16, 2015 – Oslo – $690 (no deposit required) Double Occupancy – 2-Night Package – March 15-16, 2015 – Oslo – $880 (no deposit required) Triple Occupancy – 2-Night Package – March 15-16, 2015 – Oslo – $1560 (no deposit required) Payment Information By making this payment you are agreeing to the terms of our Consumer Disclosure Notice, and the Payment and Cancellation Terms of this tour. INTEREST FREE PAYMENT PLAN (IFPP) Our Interest Free Payment Plan (IFPP) provides a convenient way to spread out the cost of your TravelQuest journey in a series of monthly payments after you submit the initial payment for the tour/cruise. Full details found in Terms & Services below. Yes, I want to participate in IFPP TQ ROOM SHARE PROGRAM If you are a solo traveler, you can realize significant savings by taking advantage of TravelQuest’s Room Sharing Program, which matches travelers of the same gender so that they can share the same twin room. While we’ll do our best to fulfill your request, if we cannot find a match, you will pay the single occupancy price. Yes, I want to participate in TQ’s room share program TOTAL $0.00 Payment Options* Credit Card Check Please make checks payable to: TravelQuest 305 Double D Dr. Prescott, AZ 86301 Please note: You will be sent your invoice and Preliminary Travel Packet once TravelQuest receives your check. USA CREDIT CARD* American Express Discover MasterCard Visa Card Number Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Expiration Date Security CodeCardholder Name Comments Please ask any questions or communicate any special requests in the comment box provided below. How did you hear about us?* Discover Magazine Terms & Service Event Horizon LLC, doing business as TravelQuest International, and hereafter referred to as TravelQuest, its agents (collective) and sponsoring organizations act only as an independent contractor for the suppliers of transportation, accommodations, food and other goods and services provided to the participant. All arrangements to transport, accommodate and other services are made upon the express condition that TravelQuest and its agents shall not be liable for any direct, indirect, consequential or incidental damage, injury, or loss to person or property, accident, delay or irregularity of any kind occasioned by reason of any act or omission beyond our control, including without limitation, any act or negligence or breach of contract of any third party, such as an airline, cruise line, train, hotel, restaurant, ground handler, etc., who is to or does supply any goods or services to the tour. Without limiting the foregoing, TravelQuest and its agents are not responsible for any loss or expenses due to delay or change in schedule, overbooking of accommodations, default of any third parties, sickness, weather, strikes, acts of God, acts of terrorism, war, quarantine, theft, criminal activity or for any other cause beyond our control. TravelQuest reserves the right to change the itinerary of this tour without prior notice. If the tour is canceled by TravelQuest due to low enrollment, TravelQuest shall incur no liability beyond the refund of all tour participants’ payments received. However, if TravelQuest must cancel for reasons beyond its control, including but not limited to weather, disease, strikes, acts of God, acts of terrorism or war, TravelQuest’s liability shall be limited to a refund of only those portions of the tour cost TravelQuest is able to recover from suppliers. TravelQuest may increase the tour cost if there are cost increases. If any tour member chooses not to participate in any included activity or meal, there will be no refund for that unused portion of the tour. If any tour member leaves or is removed from the tour, a refund only for refundable unused services shall be made. This tour may be sold in conjunction with the services of any airline. The passenger tickets in use by the carriers, when issued, shall constitute the sole contract between the carriers and the passenger. Carriers are not responsible for any act or omission or events during the time tour participants are not aboard their conveyances. Any litigation concerning this tour shall be brought in Yavapai County, in the State of Arizona, pursuant to the laws of Arizona. Changes in this Responsibility Clause can be made only in writing and signed by an officer of TravelQuest. Deposits paid by tour participant indicate acceptance of the above terms and conditions. Interest Free Payment Plan (IFPP) Our Interest Free Payment Plan (IFPP) provides a convenient way to spread out the cost of your TravelQuest journey in a series of monthly payments. When you make your reservation, you’ll be given the option of joining our IFPP program. If you agree, you will provide TravelQuest with a credit card number to be kept on file, and you will authorize it to be charged a defined amount on a monthly basis by TravelQuest. These transactions will occur the first business day of each month, starting with the month following your initial deposit, and ending on the tour’s final payment due date. This means, the earlier you reserve your trip in advance of the final payment due date, the lower your monthly payment will be. Example: After making the required initial deposit payment (beginning the month after initial payment) for a $2400 trip balance, on a tour that is booked 12 months prior to the final payment due date, will be $200 per month. However, if you reserve that same trip only 6 months prior to the final payment due date, your monthly IFPP payment will be $400 per month. Each month, after your credit card has been automatically charged, TravelQuest will email you an updated invoice reflecting the monthly payment. If, at any time, you wish to terminate your participation in our IFPP program, simply notify us in writing by email or letter, and we will terminate the arrangement and revert your reservation to the tour’s standard payment terms. If, for any reason, a monthly charge fails to process according to the terms of this IFPP, TravelQuest will immediately notify you by email. Travelers must then remit payment to TravelQuest within five (5) business days of notification. TravelQuest reserves the right to cancel the IFPP program at any time, especially if payments are not made according to the terms of the IFPP. All payment and cancellation terms, as stated in each tour’s web brochure, apply to those participating in our IFPP. Please note that the IFPP program does not automatically extend to each new tour reservation; you must re-enroll with each new booking. In order to enroll in IFPP you must agree to the following Terms and Conditions: Your initial trip deposit payment will be charged at the time of booking. You will then be contacted by email with your monthly payment amount and payment schedule. Upon review, you will then authorize TravelQuest to charge your credit card number on file per the dates agreed upon, through to the final payment due date. Terms & Service* I agree to the terms of service.