HDCCAM20 - Camino De Santiago Tour

Camino De Santiago: Private Cycling Tour

May 21-31, 2020

Please enter your name on the registration form as it appears on the passport that you plan to travel with. Flight tickets will be issued in accordance with your registered name.

Please fill this section out completely with the main traveler's information.

First name as it appears on passport	Middle name as it appears on passport

Last name as it appears on passport	Email Address

Color copy of passport (Attach now or send to Executive Travel minimum of 90 days prior to departure)

Name tag preference

Date of birth

Street


City	State


Postal Code	Country

Home Phone*	Cell Phone*

Known Traveler Number (Global Entry, TSA Pre-check)

Do you plan to rent an e-bike (Kross Trekking Bike) offered on this tour?*

Yes - $175.00

Do you want to purchase e-bike insurance?*

Yes - $100

If traveling with another person, please fill out this section with the second traveler's information.

First name as it appears on passport	Middle name as it appears on passport

Last name as it appears on passport	Email Address

Color copy of passport (Attach now or send to Executive Travel minimum of 90 days prior to departure)

Name tag preference

Date of birth

Street


City	State


Postal Code	Country

Home Phone*	Cell Phone*

Known Traveler Number (Global Entry, TSA Pre-check)

Do you plan to rent an e-bike (Kross Trekking Bike) offered on this tour?*

Yes - $175.00

Do you want to purchase e-bike insurance?*

Yes - $100

Note: If you prefer to mail or drop off hard copies of your passport(s), you are welcome to choose this method. The Executive Travel mailing address is: 1212 O Street, Lincoln, NE 68508.

Further information:

Bed Preference

Are you traveling with any medical devices (ie. cane, collapsible wheelchair, CPAP, etc)? If yes, please list them below:

Do you need any assistance at the airport(s)?

Yes

Travel Insurance

Yes

Interested in a quote for airfare?

Yes

Food allergies or restrictions

I am looking for a roommate, please add me to your "Pair & Share" list and keep me informed of opportunities:

Yes

Not interested

Executive Travel will contact you within two business days to obtain your payment method.