ARCHIVED **********---- Ghana Travel Experience ----********** - - - - - A Complete Cultural Immersion - - - - - October 19-30, 2022
Step 1: Guest Information
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Where did you first hear about us?
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Agents Friends & Family
Bridal Shows
Facebook
Family
Friends
Google
Internet
Other
Past Client
Past Client Referral
Repeat Client
Trip Advisor
Wedding Guest
Word of Mouth
Total Number of Guests:
1
2
3
4
5
6
7
8
9
10
Guests 1 Information -
If we are making an air reservation, Guest name MUST match passport exactly in order to board airplane.
First Name
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Middle Name :
Last Name
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Suffix :
..
Sr.
Jr.
I
II
III
IV
Guest DOB
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Please provide a valid date in the "MM/DD/YYYY" format
Name as it appears on Passport
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Gender
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Please Select
Male
Female
Passport Num :
Passport Issuing Country :
Passport Exp :
Please provide a valid date in the "MM/DD/YYYY" format
Emergency Contact Name & number
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Dietary Restrictions // Alergies or Medical Conditions
T-Shirt Size
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Small
Medium
Large
XL
2 XL
Step 2: Contact Information
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Street Address
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City
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State/Province
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Please Select a State or Province
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Armed Forces of the Americas
Armed Forces of Europe
Armed Forces of the Pacific
Zip/Postal Code
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Whose address is this? :
Guest 1
Email Address
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Phone Number
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Phone Number 2
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Step 3: Trip Information
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Departure Date
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Please provide a valid date in the "MM/DD/YYYY" format
Return Date
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Please provide a valid date in the "MM/DD/YYYY" format
Room/Cabin Type
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Please Select
(Primary Roommate) Land & Estimated Air Package Double Occupancy
(Primary Roommate) Land Only Package Double Occupancy
(Second Roommate) Land & Estimated Air Package Double Occupancy
(Second Roommate) Land Only Package Double Occupancy
Land & Estimated Air Package Single Occupancy
Land Only Package Single Occupancy
Name of Roommate(s)
Bedding Type :
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1 Bed
2 Beds
Departure Airport
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Do you need airfare?
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Yes
No
Flights Already Purchased
Seating (aisle/window/middle)
Aisle
Window
Middle
Travel Protection
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:
Yes
No
The Black Onyx Group Travel highly recommends, and for some many Travel Experiences, require you cover your vacation investment from those unforeseen circumstances that may arise before or during your trip. ADDITIONAL INFORMATION REGARDING THE PURCHASE OF TRAVEL INSURANCE CAN BE FOUND ON THE REGISTRATION SITE AND WILL ALSO BE PROVIDED VIA EMAIL UPON RECEIPT OF DEPOSIT. The Plans provided by our partner, AIG Travel Guard, provide valuable coverage at affordable prices and include an early purchase benefit of a waiver of Pre-existing Medical Condition Exclusion and Cancel for Any Reason add-on option, if purchased within 15 days of the initial trip payment.
If you are booking a runcation package please specify race distance
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5 K
10 K
Half Marathon
Full Marathon
Not Applicable
Step 4: Payment Information
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Payment Type
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Payment Type
American Express
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Pay in Full or Deposit:
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Deposit Only
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Amount:
Submit an additional payment type:
Yes
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Payment Type
Payment Type
American Express
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MasterCard
Visa
Submit an additional payment type:
Yes
No
Payment Type:
Payment Type
American Express
Discover
MasterCard
Visa
Set Up Auto Payment Service to avoid late fees - $10.00 One time Charge
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No
Yes
Step 5: Additional Information
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Special Requests :
Other Questions/Comments :
By submitting, you certify that you are the cardholder and are authorizing The Black Onyx Group Travel or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will get back to you. Payment may take 3-5 business days to fully process and be reflected on your statement. __________________________________________ Important Legal Notice to Clients– Please read carefully By completing your reservation/registration, you understand the terms provided in the link below: Click
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for Terms & Conditions
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Please upload a copy of your Passport
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