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:
21148 Birds Nest Terrace
Boca Raton, Florida 33433
Name of Trip:______________________________________________________________
Deposit sent: $___________________ Total Trip cost: $_________________________
Name[s] as it [they] appear on passport:
Date of birth_________________________Second:________________________________
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 firstname.lastname@example.org
Call: 914-494-5529 or