EmailMeForm
TRAVEL REGISTRATION FORM
**** Swirl and Sip- Napa Valley 2020 ****
PLEASE NOTE A DEPOSIT of $150 PER PERSON IS DUE AT RGISTRATION
***Joint Registration requires all Data Fields be Completed, if registering separately ONLY ENTER TRAVELER 2 NAME*
Traveler #1 Full Name
*
EXACTLY as it appears on your STATE issued ID
Date of Birth
*
MM
/
DD
/
YYYY
Traveler #2 Full Name
TYPE N/A IF SINGLE OCCUPANCY
Date of Birth
MM
/
DD
/
YYYY
Select your Occupancy
*
SINGLE OCCUPANCY-$1695 PP
DOUBLE OCCUPANCY- $1025 PP
RATES PROVIDED ARE PER PERSON - INCLUDES ACCOMMODATIONS 5 DAYS/4NIGHTS, TRANSFERS, PRIVATE NAPA VALLEY TOUR, FAREWELL RECEPTION & LDTG PERKS
**DOES NOT INCLUDE $15 DAILY RESORT FEE**
Would you like air to be included in your vacation package?
*
Select One
Yes
No
If you wish to include air in your package please specify which airport you would be willing to travel from on the line below.
**PLEASE NOTE THERE IS NO GUARANTEE THERE WILL BE ENOUGH PARTICIPANTS FROM ONE CITY TO OFFER GROUP FLIGHTS**
Name of Airport
Physical/Mailing Address Traveler #1
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Physical/Mailing Address Traveler #2
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Only required if do JOINT Regristration
Phone Traveler #1
*
###
-
###
-
####
Phone Traveler #2
###
-
###
-
####
Only required if doing a JOINT Registration
Traveler #1 Email
*
Traveler #2 Email
Only required if doing a JOINT registration
Physical Limitations
Dietary Restrictions/Allergies/Wine Preferences
IE: Vegan, Peanut Allergy, Prefer Sweet White Wine, Prefer Red Dry Wine , ETC