Maupin Tour Registration

To pre-register for a travel tour, please complete the registration form below and hit Submit. For more information and rates please review our Travel Insurance page.

Fields marked with an * are required for submission.

    Tour Name *

    Room Type *

    Double FullDouble Land OnlySingle FullSingle Land Only

    Your Full Name *


    NickName(for nametag)

    Spouse's First Name(if traveling)

    Spouse's Title

    Spouse's Nick Name

    Email *


    Mobile Phone

    Address *

    City *

    State *

    Zip *

    Type of Accomodation


    Roommate Name

    Need a Roommate?


    Departure Date *

    Departure City *

    Passport Number

    Date of issue

    Expiration Date


    Date of Birth*

    Emergency Contact Name

    (Not travel companion)


    Emergency Phone

    Frequent Flyer Number

    Freq. Flyer Airline

    Seating Preference**

    AisleWindowCenterBulkheadExit Row

    Special meal Request **




    Travel Insurance*:

    I AM INTERESTED in travel insurance coverageI DO NOT want travel insurance coverageI will submit my decision prior to final payment


    Security Code:


    Verify Code:


    ** Disclaimer: Gomega Travel will make a request, however, we cannot guarantee that your request will be honored by the airline.