315-652-0121

Group TourRegistration Form

Bella Tours and Travel Inc.

305 Vine Street, Suite #9 Liverpool, NY 13088

Phone# - 315-652-0121 Fax# 315-299-4733

Email – Website –

Please read the information on this form carefully

If you have any questions or concerns, please contact our office

OPTIONAL TRIP INSURANCE

We strongly encourage you to consider purchasing the optional cancellation insurance. The cost is $10 per person for a one day trip, $30 per person for a multi-day trips up to 4 days and $100 per person for trips 5 days or more. This must be paid with your initial deposit when registering for your group trip

If cancellation insurance is purchased, you may cancel at any time prior to the trip departure date and will receive all monies paid to Bella Tours except the initial non-refundable deposit and money paid for the cancellation insurance. Please Note: Refunds could include pre-purchased tickets in lieu of cash when applicable. (Ex. Airline tickets, cruise or theatre tickets, sporting events and amusement park tickets, etc.)

If cancellation insurance is not purchased, you will receive a full refund except your initial non-refundable deposit as long as written cancellation is received in our office 60 days prior to the trip departure date. If you cancel within 60 days of the trip departure date, you will not receive a refund. Please Note: Any refunds available could include pre-purchased tickets in lieu of cash when applicable. (Ex. Airline tickets, cruise or theatre tickets, sporting events and amusement park tickets, etc.)

To request a refund,Please include information in writing to Bella Tours and Travel Inc. which includes the name of the person(s) canceling, the school name, the destination and date of the trip, the name, address, and phone number of the person the refund check should be issued to. Refunds will be issued after the trip departure date. All requests for refunds must be in writing.

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Disclosure Notice on Agent’s Limited Liability

Bella Tours and Travel Inc. hereby discloses that in offering any travel arrangements for sale, or accepting reservations for services, which are not directly supplied by Bella Tours and Travel Inc., we act only in the capacity of an intermediary agent on behalf of the various suppliers of travel services in your itinerary. Our role is one of counseling, and the final decision is yours to select the destinations, mode of transportation, hotels, and tours. Our aim is to provide you with your requested travel booking as accurately as possible. We accept no responsibility for additional expenses incurred due to illness, weather, strikes, mechanical defects, war, quarantine, riot or other causes. Because of our status as an agent, and because we maintain no control over personnel, equipment, or operations of any travel service supplier, Bella Tours and Travel Inc. assumes no responsibility for and is not liable for any personal injury, property damage, or loss, accident, delay, inconvenience, or irregularity which may be occasioned either by reason of (1) any wrongful or negligent acts or omissions on the part of any employee of any supplier, (2) any defect in or failure of any vehicle, equipment or instrumentality owned, or operated or otherwise used by any supplier, or (3) any wrongful or negligent acts or omissions on the part of any other party not under the control, direct or otherwise, of Bella Tours and Travel Inc

Please complete the following and return to

Bella Tours and Travel Inc.

305 Vine Street, Suite #9,Liverpool, NY13088

Phone - 315-652-0121 Fax – 315-299-4733

PLEASE COMPLETE THIS FORM FOR EVERY TRAVELER PARTICIPATING IN THE TOUR

*Travelers Name______M_____F_____Parent______Student______

*Address______*HomePhone______

*Name of School/Organization______*Trip Destination______

Parent/Travelers Signature______

Cancellation Insurance? Yes___No___(if purchasing insurance include $10 for one day or $30 for multi-day trips along with deposit & this form)

Please note roommate choices: 1______2______3______

Method of payment: Cash______Check#______Credit Card (see below)____ Money Order______

Please make checks payable to Bella Tours and Travel Inc. (There will be a $20 fee for any returned checks)

*Required information

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If paying by Master Card, Visa or Discover please turn in the form below

Master Card______Visa______Discover______(please check one)

*Card issued to:______

*Card Account number______

*Expiration date______*Security Code______*Amount to be charged______

*Cardholders Signature______

Please apply the above amount to ______trip to______

Name of travelerDestination

On ______with ______

Date of tripGroup name

By completing the information above you are authorizing Bella Tours and Travel to charge the indicated amount towards the trip indicated. Bella Tours will not charge any balances to the above account unless directed to do so by the cardholder named above. For all customers’ protection - all credit card information will be shredded after trip is complete.