• 800-463-2354
  • noritasworld@noritasworld.com

Application

Tour Application

Destination & Date: ___________________________________________________________

Catalog and itineraries detail originating tour city, included costs (all meals, transportation, lodging, fees, etc.) and single supplements. Reservations are guaranteed in the order that full payments/deposits are received. Questions? Call us at 1-800-463-2354, Ext. 01.

Primary Contact: _______________________________ Home Phone _________________

Tour Price: $_____________ as specified, includes $75 non-refundable application fee.

Deposit: $_____________ (specified in tour description)

Balance: $_________________ due 2 months prior to departure.

Accommodations: o Smoking o Non-smoking o Double o Single

Single Supplement: $____________ (if applicable, as specified in tour description)

Address_____________________________________________________________________

City___________________________________________ State_________ Zip_____________

Birth Date_____________________________ o Female o Male Number in party______

Roommate____________________________________________________

Please select* o Dietary considerations__________________________________________________________

Other special needs____________________________________________________________

Medical conditions we should know about ___________________________________________

Emergency Contact ____________________________________________________________

Phone__________________ Address _____________________________________________

*If you wish to be assigned a roommate, but none is available, single supplement will apply.

Travel Companion: ________________________________ Home Phone ______________

Accommodations: o Smoking o Non-smoking o Double o Single

Single Supplement: $____________ (if applicable, as specified in tour description)

Address_____________________________________________________________________

City__________________________________________ State__________ Zip_____________

Birth Date_____________________________ o Female o Male

Roommate_________________________________________________

Please select* o Dietary considerations__________________________________________________________

Other special needs____________________________________________________________

Medical conditions we should know about____________________________________________

Emergency Contact ____________________________________________________________

Phone__________________ Address _____________________________________________

*If a roommate is requested, but none is available, single supplement will apply.


Liability Release and Acceptance of Risk and Terms

(Please have all applicants read and sign this agreement.)

I understand that Norita's World© acts as agent for all services, including, but not limited to, transportation, other travel services, and accommodation providers. In addition, I understand that Norita's World© does not assume responsibility for any injury, loss, or damage to person or property that may result from such things as natural disasters, delays, medical situations, civil disturbances, or any other events beyond our control. In consideration of this, I release Norita's World©, its employees, agents, and all associates from any and all claims and responsibilities in connection with this trip. I have sufficient medical insurance or financial resources to cover my health needs should any treatment or travel become necessary due to illness, injury, or other personal reasons.

I understand that the published itinerary is as planned at this time, but that changes may be made due to events beyond the control of Norita's World©, or to provide better birding opportunities.

I have read and understand the “Refunds and Cancellations” policies in Norita’s World© brochure or on the website. I understand the recommendation that I purchase trip cancellation insurance to cover costs of changes in this tour’s travel that might arise for reasons outside the control of Norita's World©. (Our Travel Desk can assist you with this.) If Norita's World© cancels this trip for any reason, 100% of the trip cost or portion thereof that has been paid to Norita's World© for this tour will be refunded to me. I will maintain a copy of this application for my records.

Signature___________________________________________ Date____________________

Print Legal Name______________________________________________________________

Signature___________________________________________ Date____________________

Print Legal Name______________________________________________________________


Air Travel

(Upon receiving your application, we will give a copy to our travel desk. They will contact you about all travel arrangements. This is essential so that arrivals and pick ups can be coordinated, especially for travel outside the U.S. We can also assist you with baggage, airline transfers, getting comfortably through customs, etc. There is no extra charge for this service.

Preferred airport_______________________________________________________________

Date you wish to depart airport named above_________________________________________

Preferred airline (cannot be guaranteed)_____________________________________________

Frequent Flyer Number__________________________________________________________

Fare class__________________________ Seating preference__________________________

Any dietary preference__________________________________________________________

Enclosed: $_______________ o Reservation information completed. Deposit now to secure reservation.

o Deposit: $________ X ___ in your party = $__________ (Balance: 2 mo. prior to departure)

o Price: $______________each X___ in your party = $____________________full payment.

o Signatures (above) o Single supplement (if applicable) $________X____ = $___________

After you make a copy for your records, mail entire completed application form with deposit or full payment to:

Norita’s World, 617 Pope’s Island Road, Milford, CT 06460, (1-800-463-2354, Ext. 01)