Maine Lighthouse Tour
Sign up sheet
Please Choose Date of Tour:
{ } August 6-15 2004 { } September 10-19 2004 { } October 1-10 2004
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{ } $2920.00 Single occupancy { } $1195.00- 3rd person occupying same room
{ } $1995.00 per person Double occupancy { } $1195.00-4th person occupying same room
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Legal Name:________________________________________Date of Birth_________________
Legal Name:_______________________________________Date of Birth_________________
Passenger 3
Legal Name:_______________________________________Date of Birth__________________
Passenger 4
Mailing Address: _______________________________________________________________
City__________________________________State:___________ Zip:____________________
Phone(H)_________________________________(W)__________________________________
Email Address____________________________________________________
Emergency Contact Person:____________________________Phone#_____________________
Special needs:_________________________________________________________________
We accept checks, money orders, Visas, Mastercard, Discover/Novus, and American Express. Your payment is not deemed made until it is received by Hewins Travel. A deposit of $250.00 per person is required to reserve a reservation. Final payment of the remainder of the balance is due 60 days prior to departure date. Payment in full is required at time of booking for reservations made less than 60 days before departure.
After deposit has been received $50.00 per person
60-46 days prior to departure .. . $250.00 per person
45-30 days prior to departure .50% per person
29-15 days prior to departure .75% per person
14-0 days prior to departure .100% per person
Hewins/Carlson Wagonlit Travel strongly suggests purchasing Trip Cancellation Insurance. A brochure outlining insurance coverage and an application form will be forwarded to you upon receipt of your initial deposit.
Credit Card #________________________________________Exp.______________________
Amount charged:____________________Signature:____________________________________
Please make your check payable to:
Hewins/Carlson Wagonlit Travel
Attention: Maine Lighthouse Tours
P.O.Box 7140
Portland, ME 04112-7140
Total amount enclosed $___________________________($250pp) for________persons
Travelers Who Need Special Assistance
You must report any disability requiring special attention to Hewins Travel at the time the reservation is made. Hewins Travel will make reasonable attempts to accommodate the special needs of disabled travelers, but is not responsible in the event it is unable to do so, nor is it responsible for any denial of services by carriers, hotels, restaurants or other independent suppliers. Most transportation services, including the touring motorcoach, are not equipped with wheelchair ramps. We regret that we cannot provide individual assistance to a tour participant for walking, dining, and getting on and off the motorcoaches and other vehicle, or other personal need. A qualified and physically able companion must accompany travelers who need such assistance, and must assume total responsibility for the handicapped participants well being.
Hewins Travel reserves the right to cancel or re-schedule any tour departure. If cancellation is made prior to departure of the tour, the only responsibility of Hewins Travel will be to refund to the passenger the amount we have received for the land tour reservation.
The accommodations listed in this brochure are intended to be used on all departures; however if a change becomes necessary for any reason, the accommodations substituted will be equivalent in standard to those shown. If, after tour departure, the services included in the tour cannot be supplied, or there are changes in an itinerary for reasons beyond the control of Hewins Travel, Hewins Travel will arrange for the provision of comparable services. The tour participant agrees that neither Hewins Travel nor its affiliates shall be liable for any damage, loss (including personal injury, death, and property loss) or expense occasioned by any act or omission of any supplier providing tour services.
For questions, call 1-800-370-0888 ask for Melinda LoPresti extension 215 or Eric Baxter extension 209 or email us at