EmailMe Form - Rocky Mountaineer Deposit Form

P.O. Box 50
Morton, PA 19070
1-800-423-0247

Rocky Mountaineer *

Departure Date *

MM / DD / YYYY

Group Leader *

First Last

Name as it appears on your passport *

Prefix First Middle Last Suffix

The charges to change an incorrect name on documents is $150.00 including FedEx charges. Please call us at 1-800-423-0247 with your passport and credit card information after filling out this form.

Which COVID Vaccine did you get?(Not including booster) *

Pfizer

Moderna

J & J

Date of birth *

MM / DD / YYYY

Were you born in the United States? *

Yes

No

If no, what country were you born in ?

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Mobile Phone

### - ### - ####

Email

By entering your email address, you will receive an email confirmation of your submission which includes a copy of the completed form.

Please indicate your COVID Vaccine before the booster shot

Pfizer

Moderna

J&J

Will you be traveling with a roommate? *

Yes

No

Name of Person with whom you will be Rooming

Bed Preference

1 King Bed

2 Double Beds

What special occasion will you be celebrating on your trip?

Is airfare included on this reservation? *

Yes

No

If included, what is the departure city and airport? *

Emergency Contact Person

First Last

Relationship to you

Emergency Contact's Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Emergency Contact's Phone

### - ### - ####

Rail *

Silverleaf

Goldleaf

Your trip includes Silverleaf Hotel Accommodations. Please specify your desired Rail.

Total Cost of Trip *

$ Dollars . Cents

Your credit card will not be charged this amount

Amount of Deposit to secure your reservation *

$ Dollars . Cents

YOUR DEPOSIT IS NON-REFUNDABLE and will secure your reservation.The rest of your trip cost is due by your final payment date. Please call us at 1-800-423-0247 with your passport and credit card information after filling out this form.

Arch Roam Right's Travel Insurance

Click here to view Travel Insurance information on our website

Would you like Travel Insurance?
TRAVEL PROTECTION IS RECOMMENDED, OPTIONAL, AND MUST BE PAID BY CHECK.

Please make checks payable to
Grand American Tours
P.O. Box 50
Morton, PA 19070

Travel Insurance information can be found on our website by clicking the link above *

ACCEPT: I have selected to PURCHASE Travel Protection Insurance as offered by Grand American Tours. I have reviewed the Policy Coverage and accept that the policy meets my desired protection plus I understand all insurance premiums are non-refundable

DECLINE**: I acknowledge that I have received Travel Insurance information and quote; I am WAIVING access to these coverage provisions by DECLINING to purchase the travel insurance offered by Grand American Tours for my travel plans.

**If DECLINING: note that you may be able to purchase limited coverage up to 24 hours prior to travel. Ask your agent for restrictive details. Grand American Tours will not be held liable for any financial losses incurred from failure to purchase insurance coverage. Insurance Premiums are always non-refundable.

Travel Insurance

INSURANCE PREMIUM IS PER PERSON AND NON-REFUNDABLE.
Contact Grand American Tours for trip costs up to $20,000

Cancellation Policy:

Airfare, pre and post nights, and motorcoach transportation, if included, and any Grand American Tours service fees are non-refundable at the time your final payment is due to Grand American Tours. Rocky Mountaineer cancellation policy is according to the Rocky Mountaineer website. If you are unable to access the Rocky Mountaineer website, please call our office at 1-800-423-0247 for Rocky Mountaineer’s cancellation penalties. Insurance premium (if purchased) is non-refundable. I acknowledge that I have read and agree to the cancellation policies. *

BY CHECKING THIS BOX, I UNDERSTAND AND AGREE TO THE CANCELLATION POLICY AND WOULD LIKE YOU TO CHARGE MY CREDIT CARD