Please complete the form below and click on "Submit" to register for the New York trip.


To submit this form, all "*" fields must be filled in.

 

Trip insurance is available and recommended. For your convenience, we offer a plan provided by Travelex Insurance Services. The estimated cost is $187 based on the trip cost of $2249 per person double occupancy but may be more or less depending on your total trip cost. If you do not wish to purchase insurance now, the plan can be purchased any time prior to final payment but the policy will not take effect until purchased.

To view plan costs, information, and disclaimers, click here to read the Travelex Travel Protection Plan Flyer. Travel insurance is offered on behalf of and under the direction of Travelex Insurance Services.

If you have questions about the travel insurance policy, please contact: Julie Boeding, Allied Travel Serivces, 515-270-7070, julie@alliedtravel.com

 

 

Deposit for One ($125)
Deposit for Two ($250)
Your insurance decision*
Your roommate's insurance decision if this registration is for them as well
Trip date*
YOUR INFORMATION
Full Name (as it appears on your photo ID)
First Name*
Middle Name on your photo ID*
Last Name*
Date of Birth (required by airline)
Month*
Day*
Year*
Contact Information
Name you prefer to be called (if different from above)
Address*
City*
State*
Zip*
Phone*
Email*
Confirm Email*
Roommate's Name (or None)*
Emergency Contact Name & Phone Number(s), Relation to You
Known Traveler Number/Global Entry Number if you have one
Delta Skymiles Number if you have one
Marriott Rewards Number if you have one
Please sign me up for your e-newsletter
ROOMMATE INFORMATION only if this registration is for the second person as well
Roommate's full name (as it appears on their photo ID)
First Name
Middle Name on your photo ID
Last Name
Roommate's Date of Birth (required by airline)
Month
Day
Year
Roommate's Contact Information
Roommate's preferred name (if different from above)
Roommate's Address
Roommate's City
Roommate's State
Roommate's Zip Code
Roommate's Phone
Roommate's Email
Roommate's Emergency Contact Name & Phone Number(s), Relation to Them
Roommate's Known Traveler Number/Global Entry Number if they have one
Roommate's Delta Skymiles Number if they have one
Roommate's Marriott Rewards Number if they have one
Payment Information
Payment Info
Additional Information
Any special needs in this group?

New York Trip Cancellation Policies

$125 per person deposit due at time of registration. Deposit is non-refundable.

Final balance due 90 days prior to trip.

Cancellations 45-90 days prior to trip: 50% of the trip cost is non-refundable.

Cancellations less than 45 days prior to trip: No refund.