Wilkins Tour Registration Form

DEPOSIT IS REQUIRED
$520 PER PERSON ONLINE -OR- $500 PER PERSON BY CHECK
Please enter your name and information exactly as it appears in your passport.
YOU ARE NOT CONFIRMED ON THE TOUR UNTIL WE RECEIVE YOUR DEPOSIT

Please register once per person
Make checks payable to Gomega Travel
MAIL TO: Gomega Travel, 2441 High Timbers, Suite 310, The Woodlands, TX 77380
Email: bev@gomegatravel.com

Phone:(281)363-3659, 800-363-0012, Fax:(281)298-7322

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
    Jordan Extension? YesNo
    Your Full Name *
    Title NickName(for nametag)
    Spouse's First Name(if traveling)
    Spouse's Title Spouse's Nick Name
    Email *
    Telephone* Mobile Phone
    Address * City *
    State * Zip *
    Pastor or Tour Leader
    Smoking preference SmokingNon-Smoking Type of Accomodation SingleRoomate
    Roommate Name Need a Roommate? YesNo
    Departure Date * Departure City *
    Passport Number Date of issue
    Expiration Date Country
    Date of Birth*
    Emergency Contact Name (Not travel companion)
    Relationship Emergency Phone
    Frequent Flyer Number Freq. Flyer Airline
    Seating Preference** AisleWindowCenterBulkheadExit Row
    Special meal Request **
     
    Yes
     
    Security Code: captcha
    Verify Code:
     

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