Registration  Form

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.

You must fill out the information on the form and send it, along with your deposit.  Please make a copy of it for your own records.
Mail to:  
        BELMONT TOURS, 
        312 FRANK AVENUE, 
        MAMARONECK, NY.   10543
If you have questions:   Call us at 800-760-4330   or   914-381-4131   
E-mail: belmontours@yahoo.com            

Trip Name:_________________________________________________________

Trip Dates:___________________________________Payment Enclosed: $__________

Name as it appears on I.D. Form [Print]________________________________________

Address_________________________________________Zip Code:______________

Phone:[___]___________EMAIL:_____________@________________________

Roommates as it appears on I.D. Form [Print]________________________________

Specify any special room requests: (All rooms will be non-smoking unless otherwise requested)

_______________________________________________________________________

I have read and understand the cancellation policy of this trip.  

Signed:_____________________________(Print name)_________________________