Registration

Step 1: Guest Information

Where did you first hear about us?

Total Number of Guests:

Guest Title * :

First Name *:

Middle Name * :

Last Name *:

Suffix * :

Preferred First Name * :

Guest DOB *:

Please provide a valid date in the "MM/DD/YYYY" format

Gender * :

Passport Num :

Passport Issuing Country :

Passport Exp :

Please provide a valid date in the "MM/DD/YYYY" format

Step 2: Contact Information Click here to give us more info...

Your Country :

Street Address *:

City *:

State/Province * :

Zip/Postal Code * :

Whose address is this? :

Email Address * :

Email Address 2 :

Phone Number * :

Mobile Phone Number :

Step 3: Trip Information Click here to give us more info...

Name of Resort/Cruise :

Departure Date *:

Please provide a valid date in the "MM/DD/YYYY" format

Return Date *:

Please provide a valid date in the "MM/DD/YYYY" format

Room/Cabin Type :

Bedding Type :

Departure Airport :

Vacation Type :

Do you need airfare? *

Yes No Flights Already Purchased

Active Military/Veteran :

Yes No

Travel Protection * :

Yes No

We cannot add Cancel For Any Reason insurance after deposit, however we can add other traditional insurance at a later date.

Your Wedding :

Please provide a valid date in the "MM/DD/YYYY" format

Step 4: Payment Information (optional) Click here to give us more info...

Payment Type :

Submit an additional payment type: Yes No

Step 5: Additional Information Click here to give us more info...

Special Requests :

Other Questions/Comments :

Would you like to receive occasional emails about upcoming travel offers?

Travel Insurance Acknowledgement: Emergencies can happen when you least expect them. Main Street Travel, LLC highly recommends that all clients purchase a travel insurance policy to protect their investment in their vacation. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And, keep in mind is that that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, and Emergency Medical Transportation, among other unforeseen circumstances. Please also note that in order for you to obtain coverage for certain pre-existing conditions, your policy must be purchased at the time of booking or shortly thereafter (depending on the terms of the policy). Please understand that we are not registered insurance agents, and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if Main Street Travel, LLC does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own. I acknowledge that Main Street Travel, LLC has recommended or offered travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining to secure coverage.

You certify that you have read Main Street Travel, LLC Terms & Conditions

By checking the box below and adding your signature in the area provided, I agree that all the information I have entered is correct, and matches the Identification that will be used for travel. Completion of this form and my signature in the box below signifies acceptance. I agree that my Main Street Travel, LLC Travel Planner has informed me of all change & cancellation policies. I understand that Main Street Travel, LLC does not make the cancellation and change policies, these policys are set forth by the travel supplier and my Main Street Travel, LLC travel planner has advised me of these policies. I certify that I have verified that all information contained in the confirmation I've received is accurate and I wish to move forward with confirming my travel plans.

I Agree