EmailMeForm
Wanderlust Wellness Weekend Participant Application
Travel Organizers:
Jamie Jackson & Jennifer Gibson
Wanderlust Travel Boutique -Luxury Travel Advisors
contact email - jamie@wanderunique.com
contact phone - (336) 263-1977
Cost for Participation in the Wanderlust Wellness Weekend
Double Occupancy = $750 per person
Single Occupancy = $950 per person
Important Documentation Required:
We want to make your trip hassle free and finalizing accurate paperwork is an essential step in an effort to ensure proper documentation requirements are met.
It is the ATTENDEES responsibility to complete the following form fully and accurately.
All submitted information is secure, properly protected, and used exclusively for your upcoming reservation.
Upon completion and submission of this form you will be emailed the Participant Agreement and bill for the $300 non-refundable deposit.
*No spot will be considered reserved until the Participant Agreement has been fully completed and received by Wanderlust Travel Boutique and the deposit has been paid.
Balance will be due 30 days prior to your arrival (March 27, 2018). A final bill will be emailed to you to complete before this date.
*Any free-time activities that Wanderlust Travel Boutique arranges for you based on request will be billed separately. These options will be emailed to you a few weeks before the event.
Full Name
First
MI
Last
Date of birth
MM
/
DD
/
YYYY
Phone number
###
-
###
-
####
Email address
Mailing address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
How did you learn about the Wanderlust Wellness Weekend?
Room Request (Trip Cost Is Different For Single And Double)
Single (one guest per room)
Double (two guests per room)
If you have food and/or medication allergies list here
If you have foods you do not eat and/or dietary needs list here
Favorite happy hour drink
red wine
white wine
beer
Emergency Contact Name
Emergency Contact Phone #
###
-
###
-
####
I am aware that payment will be processed and unless insurance is purchased this vacation is subject to penalties that may be as much as the total cost paid for the trip.
Check Here If Agree To Terms
Check Here If Do Not Agree To Terms
Travel insurance can be offered individually upon request.
Check Here If You Would Like A Travel Insurance Quote Emailed To You
Check Here If You Decline A Travel Insurance Quote
Powered by
EMF
Web Form
Report Abuse