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WESTERN EUROPE'S HISTORIC COASTAL CITIES AND ART CENTERS:
A Voyage from Amsterdam to Lisbon
(July 30-August 10, 2024)

* GUEST 1: Full Name as it appears on your passport (First / Middle / Last)

* Preferred Name for name badge:

Mailing Address:

* Street:

* City, State & Zip:

* Birthdate and Age:

* Email:

* Mobile Number:

* W&L Affiliation (Class Year, Parent (Year), Friend):

If you have any mobility concerns, please list here:

GUEST 2: Full Name as it appears on your passport (First / Middle / Last)

Preferred Name for name badge:

Mailing Address (if different than listed under Guest 1):

Street:

City, State & Zip:

Birthdate and Age:

Email:

Mobile Number:

W&L Affiliation (Class Year, Parent Year, Friend):

If you have any mobility concerns, please list here:

If you are traveling with others not listed on this form, please provide their name(s):

Will you be celebrating a special event during the trip (birthday, anniversary, etc.)? Please provide the date.

Please check here if you are joining the Post-Trip Extension:

Post-Trip in Lisbon

Please select a Cabin or Room Category in order of preference.

First Choice:

Second Choice:

Third Choice:

Preferred Method of Payment:

Credit Card

Check (make payable to THALASSA JOURNEYS and send to W&L)

I/We have carefully read the Terms and Conditions and Responsibility sections in the brochure and agree to their terms on behalf of myself and the members of my party named above.