Travel Registration Form Fax to: 301-870-1749 Email: familiesonthego@msn.com Personal and Billing Information Traveler name E-mail Phone Fax Home address Billing address Credit card name Credit card number Credit card expiration date Birthday (MM/DD/YYYY) Shirt Size Travel Information Destination Departure date Return date Seating preference (e.g., aisle, window, center) Meal preference In case of emergency, contact Emergency contact’s address Emergency contact’s phone Known medical conditions Known allergies Lodging Information Hotel program name(s) and number(s) Room preference (e.g., king, double, single) Signature: □ I certify that I have read and agree to all the terms and conditions related to the specific destination.
Travel Registration Form Fax to: 301-870-1749 Email: familiesonthego@msn.com Personal and Billing Information Traveler name E-mail Phone Fax Home address Billing address Credit card name Credit card number Credit card expiration date Birthday (MM/DD/YYYY) Shirt Size Travel Information Destination Departure date Return date Seating preference (e.g., aisle, window, center) Meal preference In case of emergency, contact Emergency contact’s address Emergency contact’s phone Known medical conditions Known allergies Lodging Information Hotel program name(s) and number(s) Room preference (e.g., king, double, single) Signature: □ I certify that I have read and agree to all the terms and conditions related to the specific destination.
FOTGTravelinformationform.docx