ParisGroup2024 | ematravelgroup.com

Group Enrollment Form

Registration FORM & DEPOSIT Payment

NOTE: Your NAME should be listed as it appears on the Governmental ID, Driver's License or US Passport. No NAME CHANGES ALLOWED.

First Name

Middle Name

Last Name

Birthdate

Email Address:

Cell Phone

Emergency Contact Name

Do you require accommodations for a disability?

Best time to reach you

Emergency Contact Phone

Seating preference, if availble?

Window

Aisle

We are reserving Double Rooms (2persons per room), list your companion name below or SINGLE Occupancy will be charged.

Please check this box if you need air travel to/from an airport outside Los Angeles and indicate on the "Additional Comments" box your desired flight routes/dates

Name of your Companion below:

First Name of Companion

Middle Name Companion

Last Name Companion

Companion Birthdate

Additional Comments, Concerns, Frequent Flyer, Different Routes/Dates list below

Please enter CREDIT CARD Payment information below:
If paying thru ZELLE, pay to: ematravelgroup@Gmail.com

Credit Card Holder First Name

Credit Card Holder Middle Name

Last Name Companion

Billing Street Address

Amount Autorized

Billing City

Credit Card Type

Billing Zipcode

Credit Card Numbe

Expiration Date

Security Code (3digit back of card)

This rate is a GROUP rate, generally, based on a minimum number of travellers. The package includes your roundtrip airfare, hotel accommodations, airline departure taxes, immigration and security fees, Daily Continental Breakfast! This is an "Independent Tour Package" that allows you to do your OWN thing! However, we have negotiated some special OPTIONAL TOURS with their costs - SPACE IS LIMITED, so if you are interested, we encourage you to RESERVE to secure your space. THIS IS A NONREFUNDABLE/NONTRANSFERABLE Tour Package, but we offer CANCELLATION INSURANCE

(562)888-9183

You'll ring us LOCALLY, never in China or India!

EMA Travel Group

4940 Long Beach Blvd, Suite C - 1Flr, Long Beach CA 90805

Group Enrollment Form

Registration FORM & DEPOSIT Payment

NOTE: Your NAME should be listed as it appears on the Governmental ID, Driver's License or US Passport. No NAME CHANGES ALLOWED.

Name of your Companion below:

Please enter CREDIT CARD Payment information below:
If paying thru ZELLE, pay to: ematravelgroup@Gmail.com

(562)888-9183

Group Enrollment Form

Registration FORM & DEPOSIT Payment

NOTE: Your NAME should be listed as it appears on the Governmental ID, Driver's License or US Passport. No NAME CHANGES ALLOWED.

Name of your Companion below:

Please enter CREDIT CARD Payment information below: If paying thru ZELLE, pay to: ematravelgroup@Gmail.com

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Please enter CREDIT CARD Payment information below:
If paying thru ZELLE, pay to: ematravelgroup@Gmail.com