Belmont Tours and Travel
belmontours.com

Please print this page and mail it with your deposit.



Responsibility:  Belmont Tours, the operator, assumes no responsibility or liability in connection with the service of any aircraft, motor coach or other conveyance which may be used wholly or in part in the performance of its duty to the passengers.  The operator will not be responsible for any act, error, or omission, or for any injury, loss, accident, delay or irregularity which may be occasioned by reason of any defect in any vehicle, or through neglect or default of any company or person engaged in conveying the passenger.  Additional expenses, if any, shall be borne by the passengers.  The  passenger contract in use by the airline concerned, when issued, shall constitute the sole contract between the airline and the purchaser of this tour and the passenger.  The passenger must sign this document and submit it with his/her application.



Mail with deposit to:


Belmont Tours

21148 Birds Nest Terrace

Boca Raton, Florida  33433




Name of Trip:______________________________________________________________


Deposit sent: $___________________ Total Trip cost: $_________________________


Name[s] as it [they] appear on passport:



[Print]____________________________________________________________________



Second Name:______________________________________________________________


Date of birth_________________________Second:________________________________


Tel:[___]_________EMAIL:________________________@__________________________


Roommate_______________________________or Single


Please send a photo copy of your passport along with your application and deposit.  If you do not have a passport as of yet, please indicate that and send it when you have obtained it.



If you have any questions, please email belmontours@yahoo.com
                    or
Call:  914-494-5529 or
          561-372-9322