Westmoreland Club - CALIFORNIA WINE COUNTRY - Group Tour by Bright Life Travel


	SUITE UPGRADE Reserve and deposit by Friday, May 6 to win a suite upgrade! Deposit Due $597/person deposit and travel insurance premium due by May 20, 2011 2nd Payment Due $995/person plus 50% of winery touring and tasting costs due June 3, 2011 Final Payment Due $995/person plus balance of winery touring and tasting costs due by July 8, 2010

WESTMORELAND CLUB (private tour) California Wine Country - Napa & Sonoma Valleys
Overview \| Itinerary \| Rates/Inclusions \| Villagio Inn & Spa \| FAQ \| Reservations
September 21-25, 2011 California Wine Country Napa & Sonoma Valleys To make your reservation: Complete the Reservation Form below, or contact Bright Life Travel at: Phone: (570) 504-7575 E-mail:

Tour Reservation Form
Westmoreland Club
California Wine Country - Napa & Sonoma Valleys
September 21-25, 2011

Reservation Information

The following information must match your identification: e.g. driver's license, passport.

   PASSENGER 1    PASSENGER 2

First Name:

Middle Name:

Last Name:

Gender:    Male
Female    Male
Female

Date of Birth: (mm/dd/yyyy)

Contact Information

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Work Phone:

E-mail:

Emergency Contact Name:

Emergency Contact Phone:

Tour Preferences Information

Bed Configuration:
(subject to availability)    1 King Bed
2 Queen Beds

Other room requests:
(subject to availability)

Do you want to take the
Wine Sensory Class?
($150/person plus service & tax)

   Yes
No
   Yes
No

Are you interested in a pre/post tour stay in San Francisco?

   Yes
No
   Yes
No

Frequent Flyer Airline:
(Continental or partner air)

Frequent Flyer #:

Additional comments/information,
e.g. physical needs, dietary requests, special occassions, etc:

Payment Information

Tour Price:    $2,587*
   $2,587*


* Winery tours and tastings are an additional cost, to be determined.

Single Supplement:    $1,600 additional charge

Deposit Amount:    $597 ($250 non-refundable)    $597 ($250 non-refundable)

Travel Insurance:
($3,000 trip cost coverage)    Yes. $125 (non-refundable)
No. I decline travel insurance.

   Yes. $125 (non-refundable)
No. I decline travel insurance.

Total charge amount:    $    $

      Enter above the total of $597 initial deposit + $125 travel insurance (if applicable) per person. ($597 + $125 = $722 total per person)

Credit Card Type:
Visa, Mastercard, Discover

Credit Card Number:

Expiration (mm/yy)

CVC Code:

Name on Credit Card:

Authorizations

I have read these Terms and Conditions and fully understand them. I am aware that this agreement contains a waiver of liability and an assumption of risks. By my checkbox selection and electronic signature, I certify that I am at least 18 years or age and that I intend to be legally bound thereby:

   Terms & Conditions    Terms & Conditions

I authorize Bright Life Travel LLC to charge the intimal deposit and fees to my credit card for the Westmoreland Club California Wine Country tour, traveling September 21-25, 2011.

   Credit Card Authorization    Credit Card Authorization

Electronic Signature:
Passenger 1: Type your name above
Passenger 2: Type your name above

Please review your information for accuracy before submitting. Upon clicking the Submit button, you will be taken to a verification page. Enter the code shown and click verify to complete the reservation form submission.



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