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Koinonia Travels and Tours
410
North Mulberry
Elizabethtown, KY 42701
PH: 270-304-9062
FAX:
270-765-0913
Contact us by
email
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Koinonia Travels and Tours:
Tour Reservation Form
Download and Print here
Please print legibly and fill in completely with accurate
information.
Return with your deposit to:
Koinonia Travels and Tours, 410 North Mulberry, Elizabethtown,
KY 42701
Tour: _______________ Tour Date: ___________ Tour Cost:
_____________
Name(s): _________________________________________ Male __
Female __
Preferred Name for Name Tags:
___________________________________
Birth date:
____________________________________________________________
Street Address:
_________________________________________________________________________
City: ______________________________ State: ___________
Zip:____________
Phone: Home: ______________ Work: _____________ Cell:
______________
E-mail Address: _____________________Fax:
___________________________
Preferred Way to be Contacted:
___________________________________
My Roommate Choice:
______________________________________________
Please match me with a roommate if available: Yes: __ No: __
Room Preference: Single: __ King:__ Double(two beds):____
Triple: _______ Quad:________
I understand that there will be a single room supplemental
charge.
Emergency Contact:
_________________________________________________
Relationship:
_________________________________________________________
Emergency Contact Phone No. Home: _____________________________
Work: _____________________________ Cell:
_____________________________
Optional Travel Protection Insurance. KTT strongly recommends
that you purchase travel insurance for your own protection.
Purchasing travel protection can minimize monetary loss due to
circumstances beyond your control as a traveler such as
cancellations, schedule changes, luggage loss, trip delays,
illnesses or medical emergency, etc. KTT works with one of
the most reputable companies in the business and will be glad to
help you with your purchase and to help you understand the
details of coverage.
_____ Yes, I/we want travel protection insurance
_____ No, I/we do not want travel protection insurance
Please Provide The Following Information If The Tour Is
Traveling
Outside of The United States.
Passport
Number:_________________________________________________
Issue Date:________________ Expiration Date:__________________
Nationality:_________________________________________________
I have read, understand and agree to all the Terms and
Conditions, Cancellations policies, and Tour Guidelines.
Enrollment and payment of deposit constitutes your acceptance of
our Terms and Conditions.
Signature: _____________________________________
Date: ____________________________
Deposit Amount Enclosed: _____________ Check #: ____________
How and when did you find information about this tour?
How did you hear about KTT?
Remember: Today is the first day of the rest of your life.
Live it like it was your last.
Download and Print here
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