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CRNA Reservation & Information Form

Please complete, submit and email a clean colored copy of your passport’s 1st page

Traveler #1 *
Traveler #1
Address *
Home Phone *
Home Phone
Work Phone *
Work Phone
Cell Phone *
Cell Phone
Must be at least valid for 6 months from trip date
CRNA Registration for: *
20 CEU Trips
Traveler #2 Information
Traveler #2
Traveler #2
Address 2
Address 2
Home Phone
Home Phone
Work Phone
Work Phone
Cell Phone
Cell Phone
CRNA Registration for:
20 CEU Trips
Emergency Information
Person to be notified in case of an emergency
Person to be notified in case of an emergency
By signing for this trip, I admit and confirm my full understanding of the nature of the tour and the physical requirements to be able to keep up with the pace of the visits and the sightseeing and that I am not in any way going to cause delays to the tour group or its other fellow members and if I cause so, I could be denied participation in the tour.
Do you smoke
I am traveling alone
Please try to assign me a roommate
Single accommodations may be available at an additional cost. Single travelers for whom roommates are not available are subject to single supplement charges.
Depending on airline policy, air ticket may be unchangeable/nonrefundable after issue
I will do my own international air
I will use the basic international air included in the tour
Closest large airport to your hometown
Seat Preference
(Seat assignment based on availability) … Airlines have many convoluted rules regarding fares that allow (or not allow) mileage accrual and STS is NOT responsible in any way for such matters.
$500.00 deposit per person is required to process your reservation, unless specified differently on the particular trip brochure you are signing up for. Balance is usually due 60 days prior to departure unless otherwise specified.
Form of Payment
Credit Card
Release of Liability
Release of Liability: STS acts only as an agent for the passenger with respect to transportation, hotels, cruise and all matters of reservations and operation of the tour. STS and its agents and representatives do not accept responsibility for loss, damage, injury, accident, delay, irregularity, expense or liability caused by negligence or default of any of their subcontracting organizations, their employees, their agents or representatives, including consulates, passport agencies or express mail couriers. Any such losses or expenses shall be borne by the participant. We reserve the right to cancel the tour prior to departure in which case the full payment will be refunded to the participant without any further obligations on our part. It is understood that air or ship tickets when issued shall constitute the sole contract between the passenger and the carrier concerned. The airlines, cruise, STS and all other transportation companies involved in this tour are not to be held responsible for any act, omission or event during the time the passenger is not on board. Any sickness, injury, accidents, dismemberment or death of a passenger is not the responsibility of STS, its agents and representatives, or the airlines involved as clients have been advised of the option of purchasing individual insurance against such happenings. By signing up for this trip, I acknowledge my full awareness that the visited country(ies) may have a travel warning issued by the US State Department and it is with our complete free will that we are joining that specific tour. I could consult their web site at: www.travel.state.gov
Passports & Visas
Passports & Visas: Your passport must be valid for 6 months from the date of return to the USA and must contain empty “Visa” pages. You are also responsible for checking with the appropriate consular sections of the country/ies visited if a visa is required. STS is not responsible for any passport or visa problems, delays or any unforeseen conditions that can affect the trip. Upon acceptance of my application this agreement shall be deemed to have been entered into and performed in Eastpointe, Michigan and shall be construed according to the laws of Michigan only. In the unlikely event a legal dispute should arise involving any subject matter whatever, I agree that the dispute shall be settled by binding arbitration through the American Arbitration Association in Michigan. Should the arbitration provision prove to be unenforceable, I agree that any legal action shall be brought before the appropriate court in Macomb County, Michigan, or Federal Court in Michigan. I further agree that should the plaintiff fail to prevail in any legal dispute before a court said plaintiff hereby agrees to pay all reasonable attorneys’ fees for the defendant in the dispute. With regard to credit card sales for services related to this tour, the client will hold STS and its agents and representatives harmless for all charge-backs exercised by them or their credit card companies, originating from any complaints
Cancellations & Refunds
Cancellations & Refunds: Cancellations must be received in writing, and will be processed according to the date the written notice is received. Although a verbal cancellation is appreciated, it will not be accepted as final notice. Departure is defined as the date of the first flight from USA, or the trip departure date as indicated on our Trip Schedule, whichever comes first. 1. Money will be refunded minus the following cancellation fees per person (unless different for a particular trip, then the special cancellation schedule of that trip will apply): 90 days or more prior to departure $250 per person      89-60 days prior to departure $500 per person 59-30 days prior to departure 50% of total land cost      29-15 days prior to departure 75% of total land cost 14-0 days prior to departure No refund  2. Aside from the above penalties, any additional penalties on airline tickets imposed by the airlines- in cases of cancellation or date changes after issuance of tickets - will be totally charged to the traveler. 3. Hotel rooms booked on our tours are Run of The House (ROH), any special rooms with views or upper floors will entail a supplement that clients will be responsible to cover.
To pay deposit through PayPal click here.

Attach a clean copy of your passport here.