Madera Chamber of Commerce
presents…
Sunny Portugal
Estoril Coast, Alentejo & Algarve
with Optional Madeira Island Post Tour Extension
September 18 – 27, 2015
Book Now
& Save
$
200
Per Person
For more information contact
Debi Bray
Madera Chamber of Commerce
(559) 673-3563
[email protected]
10 Days ● 14 Meals: 8 Breakfasts, 6 Dinners
Book Now & Save $200 Per Person†:
Double $3,809 *
Single $4,309; Triple $3,779
Regular rates (without Book Now & Save):
Double $4,009
Single $4,509; Triple $3,979
Included in Price: Round Trip Air from San Francisco Intl Airport, Air Taxes and
Fees/Surcharges, Hotel Transfers
Not included in price: Cancellation Waiver and Insurance of $260 per person
“$100 per person discount for our chamber members and past chamber travelers"
Upgrade your in-flight experience with Elite Airfare
Additional rate of: Business Class $3,790
† Refer to the reservation form to choose your upgrade option
* All Rates are Per Person and are subject to change
IMPORTANT CONDITIONS: Your price is subject to increase prior to the time you make full payment.
Your price is not subject to increase after you make full payment, except for charges resulting from
increases in government-imposed taxes or fees. Once deposited, you have 7 days to send us
written consumer consent or withdraw consent and receive a full refund. (See registration form for
consent.)
"Leisure Stays" are tours in which the itineraries are designed to allow for multiple-night stays in
two or more cities. This allows you a more leisurely pace and more time to explore the
destinations on your own.
677500
Highlights… Cascais, Lisbon, Jeronimo's Monastery, Folkloric Fado Dinner
Show, Sintra, Obidos, Fatima, Evora, Monsaraz, Alentejo Countryside
Stay, Algarve, Sagres, Lagos, Faro, Cork Museum, Cooking
Demonstration, Azeitao, 2 Winery Tours, 5 UNESCO World Heritage
Sites
Day 1: Friday, September 18, 2015
Overnight Flight Portugal – a historic
land of great explorers – is waiting for
your own exploration. Discover
ancient castles, Roman ruins, groves
of lemon and almond trees, quiet
whitewashed villages, and kind, gentle
people.
Day 2: Saturday, September 19, 2015
Cascais, Portugal - Tour Begins Begin
in Cascais, a scenic coastal resort on
the “Portuguese Riviera” and your
home for three nights. The mansions
scattered about Cascais and nearby
Monte Estoril hint at its history as a
haven for exiled European royals and
nobility. Tonight, join your fellow
travelers for a welcome dinner at
Cozinha Velha Restaurant, one of
Portugal’s finest dining
establishments. (D)
Day 3: Sunday, September 20, 2015
Cascais - Lisbon - Cascais This
morning, tour Lisbon, Portugal’s
capital set on seven hills overlooking
the Tagus River. Your tour highlights
the Moorish Alfama Quarter. See the
16th-century Jeronimo’s Monastery (a
UNESCO World Heritage site) and
the Monument to the Discoveries,
which honors intrepid Portuguese
explorers and their patrons. The
impressive Belem Tower, also a
UNESCO site, features carved rope
and balconies that stand watch where
great navigators once set forth. Later
today, enjoy leisure time in Cascais.
Stroll its narrow cobblestone streets,
walk the wide oceanside promenade
or shop for ceramics, lace, filigree,
hand woven works and tapestries.
This evening, savor excellent
Portuguese cuisine and wine while
local artists perform the traditional
Fado (UNESCO). (B, D)
Day 4: Monday, September 21, 2015
Cascais - Sintra - Obidos - Fatima Cascais Begin your day exploring the
picturesque town of Sintra, a
UNESCO site and the favorite
summer residence of Portuguese kings
for six centuries. Travel to Portugal’s
beautiful “Silver Coast,” a spectacular
region filled with sleepy villages, rich
vineyards and age-old castles. Proceed
to picture-perfect Obidos where white
washed houses are held snug by
medieval city walls. Later, visit
Fatima, the world-famous Marian
pilgrimage site. (B)
Day 5: Tuesday, September 22, 2015
Cascais - Evora - Monsaraz - Alentejo
Travel through beautiful
Portuguese countryside and stop in
historic Evora (UNESCO), known
as the “Museum City of Portugal.”
Inside this medieval walled city lies a
2nd-century Roman temple to Diana.
Then, journey to the hilltop, walled
village of Monsaraz, a “jewel in the
crown” of the Alentejo. This small
medieval town has carefully preserved
its original charm. From the 13thcentury castle you’ll enjoy amazing
panoramic views of the countryside.
Next, indulge in a winery tour and a
tasting of the full-bodied character
of the region’s wines. Enjoy your
stay in the heart of Alentejo’s
countryside during an overnight at a
country resort set among 3,000 acres
of farm land, vineyards and cork trees.
(B, D)
Day 6: Wednesday, September 23,
2015 Alentejo - Algarve - Sagres Lagos Travel to the famous Algarve
and discover the secrets of the 16thcentury fortress at Sagres, home of
Prince Henry’s School of Navigation
and the “compass rose.” You will also
garner magnificent views of beautiful
Cape of St. Vincente where 200-foot
cliffs plunge into the Atlantic at the
most southwesterly point of Europe.
Next, explore the historic resort
town of Lagos, where Moorish and
Renaissance influences abound.
Here, the famous voyager, Prince
Henry the Navigator, began his
explorations and from the harbor,
Vasco da Gama sailed in 1499 on his
epic voyage of discovery. Stroll
through the fortress and historic
buildings while taking in the
surrounding ocean views during some
leisure time. (B, D)
Day 7: Thursday, September 24, 2015
Algarve The entire day is yours to
independently experience the beautiful
Algarve. Geraniums, camellias and
oleanders grow alongside fig, orange
and almond trees while brightly
colored fishing boats bob on the seas.
Protected by hills to the north and
warmed by the sea, the Algarve’s mild
climate and beautiful beaches attract
vacationers from all over the world.
(B)
Day 8: Friday, September 25, 2015
Algarve - Faro - São Brás de Alportel Algarve Journey to Faro, gateway to
the Ria Formosa protected lagoon
landscape. Explore the city’s historic
center with 9th-century Roman walls,
dramatic golden coastline, along with
its archaeological and architectural
gems. Portugal is the world’s number
one producer of cork. In historic São
Brás de Alportel, visit a local cork
factory and museum to learn about its
importance to the local economy and
its many uses. Later, a presentation by
a local liqueur maker is followed by a
tasting of some of the many varieties
produced in the region. Your day
comes to an end with a cooking
demonstration of Portuguese cuisine
followed by a sumptuous dinner
featuring local delicacies and wines.
(B, D)
Day 9: Saturday, September 26, 2015
Algarve - Azeitao - Lisbon En route to
Lisbon, visit Azeitao, a charming
agricultural village known for red
wine, olive trees and beautiful country
estates. Visit a family-run shop that
demonstrates how azulejos, the
famous hand-painted Portuguese tiles,
are made. Next, visit the Azeitao
Wine Museum at the centuries-old
Jose Maria da Fonseca Winery for a
tour and tasting of local wines,
including moscatel. Later, bid
“adeus” to Portugal during a dinner
celebrating the end of a wonderful
tour. (B, D)
Day 10: Sunday, September 27, 2015
Lisbon - Tour Ends (B)
Itinerary at a glance
Day 1
Overnight Flight
Days 2 – 4 Vila Gale Cascais Hotel,
Cascais
Day 5
Vila Gale Clube de
Campo, Beja
Days 6 – 8 Vila Gale Lagos, Algarve
Day 9
Altis Grand Hotel, Lisbon
On some dates alternate hotels may be
used.
Experience It! The Sounds of Fado Music
When visiting Lisbon, spending a night at a "casa de Fado," or Fado restaurant,
is an essential experience. Traditional Portuguese cuisine…savory local
wines…and the magical sounds of Fado. The songs of the Fado are based on the
feeling known simply as “saudade.” Though no precise word can properly
translate saudade, it is often described as a combination of deep nostalgia, strong
desire and melancholy feelings. Fado songs tell stories of happiness and sadness,
of love and jealousy. Even musical experts cannot agree on the true origin of
Fado. Although the word comes from the Latin fatum, meaning fate, some
believe its drawn-out laments are a legacy of the Moorish occupation. Others say
it developed from an African dance in Brazil, and according to another theory,
the melancholy character of the music evolved from Portuguese seafarers who
sang of home during their long absences at sea.
It emerged as a Bohemian art form in Lisbon's working-class districts of Alfama
and Mouraria in the late 18th century and gradually moved up-market. But it was
Amalia Rodrigues in the 20th century who made Fado known beyond Portugal,
performing all over the world. She's been credited with defining the style of the
music and when she died in 1999, the government declared three days of national
mourning and awarded her a state funeral. A national icon, she is buried in
Lisbon's National Pantheon.
Please fill out and return
TOUR: Sunny Portugal Estoril Coast, Alentejo & Algarve
GROUP NAME: Madera Chamber of Commerce
DEPARTURE DATE: Sep 18, 2015
BOOKING NUMBER: 677500
AVAILABLE PREPAID OPTIONS
Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your
individual experience. Complete the provided Prepaid Options Form to reserve your options.
Availability is limited and reservations are on a first come, first served basis. Payment must be received no later than 15 days prior to
departure. Prices are subject to change. Children under the age of 18 MUST be accompanied by an adult.
PASSENGERS NAME: (Please submit a separate form for each passenger)
Salutation:____ First:___________________ Middle:_________________ Last:______________________ Suffix:____ Nickname:_____________
(Mr., Mrs., Rev.)

( Please print EXACTLY as it appears on Passport)
(Jr., Sr.)
Price Per Person
(USD)
Option
Coastal Cruise with Algarvian Cave Expedition, Portimão Museum and Dinner
115.00
This excursion is subject to operation depending on weather conditions. Also due to weather
conditions, this excursion may operate in the morning (lunch will be included instead of dinner)
instead of the afternoon.
Please make checks
payable to Collette and
send to:
Madera Chamber of Commerce
Attn: Debi Bray
120 N E St
Madera, CA 93638-3215
Fax: (559) 673-5009
Sunny Portugal Estoril Coast, Alentejo &
Algarve
For Reservations Contact: Debi Bray (559) 673-3563 email: [email protected]
Madera Chamber of Commerce, 120 N E St, Madera, CA 93638-3215
RES#: 677500
TRAVEL DATE: 9/18/2015 TERRITORY: WC
A deposit of $250 per person due upon reservation. Reservations are made on a first come, first served basis. Reservations made after the seat reduction date
of March 30, 2015 are based upon availability. Final payment due by July 20, 2015. Please note: deposits are fully refundable up until March 30, 2015, after
that date certain charges apply.
YOUR INFORMATION:
Clearly print your full name (first/middle/last) as it appears on your government issued travel documentation.
IMPORTANT: In order to avoid any unnecessary change fees, it is imperative that all guest names are entered correctly from the start. The information below must be
the legal name and be 100% identical to the ID being used to travel <passport/driver’s license> including middle names or suffixes <Jr, Sr>.
First:
Middle:
Last:
Nickname:
Gender: ( ) Male
( ) Female Date of Birth: (month/day/year)
Address:
Phone: (
Suffix:
City:
)
Cell: (
Passport Number:
State:
)
Email Address:
Expiration Date: (month/day/year)
Date of Issuance: (month/day/year)
City, State, Country of Issuance:
Citizenship:
Emergency Contact:
ROOMING WITH:
First:
Zip Code:
Phone: (
)
 Check if address is the same as Passenger #1
Middle:
AIR GATEWAY: Departure airport for this tour:
Air Seat Request: ( ) Aisle ( ) Window ( ) Next To Traveling Companion
Last:
Suffix:
Collette cannot guarantee your seat preference. If you have not purchased air through Collette and wish to purchase transfers, you must transfer at our pre-scheduled times.
Please reserve an upgrade to Elite Airfare for an additional rate of:  Business Class $3,790
Service is limited and not available on all flights or carriers. Other restrictions may apply. Please note: if you purchase an upgrade we cannot guarantee
the same flight schedule as the group.
Are you willing to separate from the group air schedule to accommodate your upgrade request? ( ) Yes ( ) No
“Federal law forbids carriage of hazardous materials such as aerosols, fireworks, lithium batteries & flammable liquids aboard the aircraft in your checked or carry-on baggage. A
violation can result in 5 years’ imprisonment and penalties of $250,000 or more. Details on prohibited items may be found on TSA’s “prohibited items” web page:
http://www.tsa.gov/traveler-information/prohibited-items.”
TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $260 ( ) No, I decline
If you choose not to purchase Collette's Waiver Insurance Plan, you will incur penalties for changes and cancellations. Travel Protection Payment is due with first deposit. The Waiver
Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to departure. The single supplement
will be deducted from the refund of the person who cancels. (There is coverage under Part B which includes a single supplement benefit of $1,000 for certain covered reasons.
See Part B for details.)
EXTENSION: I wish to purchase "Madeira Island" ( ) Yes ( ) No
PLEASE MAKE CHECKS PAYABLE TO: Collette ( ) Check ( ) Credit Card
Waiver/Insurance Amount: $___________________ Deposit Amount: $___________________ Total amount enclosed: $___________________
Cardholder Name (if paying by Credit Card):
Cardholder Billing Address:  Check if address is the same as above
Cardholder Phone:
Credit Card Number:
Amount: $
________________
Expiration Date:
SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use:
Date:
____
M
M
Y
Y
I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See http://www.gocollette.com/aboutcollette/terms-and-conditions for full terms and conditions of your purchase.
Important Conditions: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for
charges resulting from increases in government-imposed taxes or fees.
Are you a Chamber member or have you traveled with the Chamber in the past? ( ) Yes ( ) No
Please Note:
To complete your tour, we include
roundtrip airport-to-hotel transfers when
purchasing Collette airfare with your tour. If
you have arranged for your own air, we are
pleased to provide you the option of
purchasing these transfers. Please note
that all transfers will leave at prescheduled times.
Single accommodations are limited and are
available on a first come, first served basis.
This tour requires average physical activity.
You should be in good health, able to climb
stairs and walk reasonable distances,
possibly over uneven grounds and
cobblestone streets.
Air passengers will arrive into the Lisbon,
Portugal airport. All transfers will depart
from the Lisbon airport for Cascais
(approximately a 40 minute drive).
Please be advised many airlines do not
provide advance seat assignments until
check-in at the airport. Advance seating
will be subject to the airline's terms and
conditions.
Economy air rate and schedule are
applicable for groups of 10 or more
traveling on the same flights and dates.
A deposit of $250 per person due upon
reservation. Reservations are made on a
first come, first served basis. Reservations
made after the seat reduction date of
March 12, 2015 are based upon
availability. Final payment due by July 20,
2015. Please note: deposits are fully
refundable up until March 30, 2015, after
that date certain charges apply.
CST#2006766-20 UBN#601220855
Nevada Sellers of Travel Registration No.
2003-0279
Extend your vacation with
Optional 5 Days Madeira Island Post Tour Extension
Rate: $1,299.00 USD per person, double, land & air inclusive
5 Meals: 4 Breakfasts, 1 Dinner
Day 10: Lisbon - Funchal, Madeira - Monte - Botanical Garden
Fly to Madeira Island, the “pearl of the Atlantic.” Madeira boasts a subtropical climate, majestic
mountain ranges and volcanic caves. Stop in Monte, perched on the hills overlooking Funchal. Visit
the Botanical Garden of Madeira with its vast collection of exotic and indigenous birds and
more than 2,500 plants from all continents. Discover Madeira’s history during a leisurely-paced
tour of Funchal’s charming plazas, colonial mansions, 15th-century cathedral and local market.
Day 11: Funchal-Câmara de Lobos-Cabo Girão-São Vicente-Porto Moniz-Calheta
Visit Câmara de Lobos, a traditional village with a wonderful bay. Continue along mountain roads,
passing banana plantations and vineyards on your way to Cabo Girão, the world’s second highest
cliff. São Vicente, a charming agricultural town, offers dramatic views. Explore the lively fishing
village of Porto Moniz, renowned for its natural volcanic pools. Also visit Calheta, home to a
working sugar mill. Nearby Paul da Serra plateau offers additional amazing views. Today breakfast
will be included.
Day 12: Funchal - Camacha - Ribeiro Frio - Santana
Wind through the mountains to Camacha, a village known for wicker crafts. In Poiso, visit the island’s
third highest point, Pico do Arieiro. Next, visit Ribeiro Frio (“cold river”), famous for its trout farm.
Continue to Santana, a village characterized by small triangular homes thatched with straw. Visit a
family-owned embroidery shop for a first-hand look at this delicate craft. This is followed by a tasting
of world-famous Madeira wine. Celebrate your Madeira adventure with a traditional dinner
known as “espetada.” Folk dancers and music entertain as you feast on a local dish of beef
marinated in herbs and cooked over an open fire. Today breakfast and dinner will be included.
Day 13: Funchal - Lisbon
Return to Lisbon and spend the remainder of the day at leisure. Today breakfast will be included.
Day 14: Lisbon - Tour Ends
Today breakfast will be included.
Please Note:
Extensions not purchased at time of deposit are subject to availability and applicable
charges at time of request.
This extension is hosted by a local representative who will provide all included services.
A minimum of 2 passengers is required for this extension to operate.
NOTES:
†Please Note: Book Now rates valid until Mar 30, 2015, valid on air inclusive packages only.
Air Upgrades
Collette’s Elite Airfare allows you to travel in ultimate comfort and convenience.
Treat yourself to a wealth of amenities that come with a business, premium
economy, or first-class ticket. Land rested, refreshed, and ready for your adventure.
Rewards
Join Travel Loyalty by Collette (TLC) through a simple online process after booking
a trip. Once you depart, receive a $150 credit per person towards your next trip! It’s
our way of rewarding our loyal travelers.† Learn more at
www.gocollette.com/guided-travel#loyalty_program
You Are Protected
Travel the world, worry-free with Collette’s Travel Protection Plan. If you need to
cancel for any reason right up until the day prior to departure, you’ll get a full refund
(less the cost of the plan). Plus, you are covered on tour. If you have to stop your
trip or return home early, need medical assistance or evacuation, suffer a baggage
loss or delay, or are delayed on tour for 12 hours or more, you're covered. It’s the
kind of peace of mind you cannot put a price tag on. Learn more at
www.gocollette.com/guided-travel#no_worries_waiver
The Collette Gateway
After you make your reservation, we will email you an invitation to the Collette
Gateway. This online hub allows you to track your travel experience. On your
personal profile page, tell us where you’ve been; enjoy a countdown to your tour,
see information about the destinations you’ll visit, connect with fellow travelers,
check out popular travel tips and sign up for Travel Loyalty by Collette (TLC). The
Gateway makes your travel experience easy and fun. Learn more at
gateway.gocollette.com
† Full credit is valid for travel within 12 months of the original trip. $100 of the credit
remains valid for travel within 13-24 months and the entire credit expires after 24 months.
Madera Chamber of Commerce
120 N E St
Madera, California, 93638-3215
162 Middle Street
Pawtucket, RI • 02860
Phone: 1-800-752-2655 Fax: 1-401-727-9014
If paying by credit card, please complete this form and return to Madera Chamber of Commerce. We
can only charge your credit card for the amount noted if the signature, address and phone number are
listed below. Thank you!
CREDIT CARD AUTHORIZATION FORM
BOOKING NUMBER: 677500
TOUR: Sunny Portugal Estoril Coast, Alentejo &
Algarve
GROUP NAME: Madera Chamber of Commerce
DEPARTURE DATE: September 18, 2015
Name of Passenger:
Salutation:______ First Name:__________________ Middle Initial:____ Last Name:_________________ Suffix:____
(Mr., Mrs., Rev.)
(Please print as it appears on Passport)
(Jr., Sr.)
Cardholder Name: _________________________________________________________________
(Please print as it appears on your Credit Card)
Cardholder Address: _______________________________________________________________
(as it appears on your credit card statement)
_________________________________________________________________________________
Cardholder Phone: _________________________________________________________________
Credit Card Type:
___American Express
___Discover
___MasterCard
___Visa
Credit Card Number: _______________________________________________________________
Expiration Date: ___________________________ Amount to be charged: $ ___________________
Cardholder’s Signature: ____________________________________ Date: ___________________
I agree to pay according to the card issuer agreement. I understand and accept Collette cancellation
policy, terms and conditions.
Participating credit card companies are now requiring a billing address and phone number for
FRAUD PREVENTION. All information MUST be provided. Thank you for your cooperation!
If using your credit card for payment, please return this Authorization Form by mail to:
Madera Chamber of Commerce
Attn: Debi Bray
120 N E St
Madera, CA 93638-3215
Or by Fax to: (559) 673-5009
 Above credit card information has been called in to Collette.
162 Middle Street
Pawtucket, RI • 02860
Phone: 1-800-752-2655 Fax: 1-401-727-9014
BOOKING NUMBER: 677500
DEPARTURE DATE: September 18, 2015
TOUR: Sunny Portugal Estoril Coast, Alentejo &
Algarve
GROUP NAME: Madera Chamber of Commerce
Available Options
Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your
individual experience. Complete the provided Prepaid Options Form to reserve your options.
Availability is limited and reservations are on a first come, first serve basis. Payment must be received no later than 15 days prior to
departure. Prices are subject to change.
Children under the age of 18 MUST be accompanied by an adult.
Algarve
Coastal Cruise with Algarvian Cave Expedition, Portimão
Museum and Dinner
$115
USD
At one time, Portimão was the “sardine capital of the world.” Visit the Portimão Museum, located along the river front,
and housed in what was one of the main sardine canning factories in Portimão. The museum contains many of the
original machines used in the industry. The grandparents and great grandparents of many of Portimão’s current
residents earned their living here. Next, set forth on your own Age of Discovery on the two-masted Caravela Santa
Bernarda. This reconstructed ship recalls Portugal’s golden days of sail and exploration. Enjoy an afternoon cruise
departing from the historical harbor of Portimão, sailing along the Rio Arade. Sail by Ferragudo, a typical Algarvian
fishing village full of tiny, colorful boats. Enjoy the unusual maritime view of two medieval forts. Continue along the
amazing coast for breathtaking views of the majestic rock formations for which the Algarve is known. If you choose,
set sail in smaller boats and glide into the grottos of the famous Algarvian caves. Celebrate your discoveries during a
dinner in a local Portimão restaurant, savoring delicious Portuguese cuisine. This excursion is subject to operation
depending on weather conditions. Also due to weather conditions, this excursion may operate in the morning (lunch
will be included instead of dinner) instead of the afternoon. Duration: Approximately 6 hours. Please note a minimum
of 15 passengers is required. Transportation is included.
PASSENGERS NAME: (Please submit a separate form for each passenger)
Salutation:____ First:___________________ Middle:_________________ Last:______________________ Suffix:____ Nickname:_____________
(Mr., Mrs., Rev.)

( Please print EXACTLY as it appears on Passport)
Option
Coastal Cruise with Algarvian Cave Expedition, Portimão Museum and Dinner
This excursion is subject to operation depending on weather conditions. Also due to weather
conditions, this excursion may operate in the morning (lunch will be included instead of dinner)
instead of the afternoon.
Please make checks
payable to Collette and
send to:
Madera Chamber of Commerce
Attn: Debi Bray
120 N E St
Madera, CA 93638-3215
Fax: (559) 673-5009
(Jr., Sr.)
Price Per Person
(USD)
115.00
Sunny Portugal Estoril Coast, Alentejo &
Algarve
For Reservations Contact: Debi Bray (559) 673-3563 email: [email protected]
Madera Chamber of Commerce, 120 N E St, Madera, CA 93638-3215
RES#: 677500
TRAVEL DATE: 9/18/2015 TERRITORY: WC
A deposit of $250 per person due upon reservation. Reservations are made on a first come, first served basis. Reservations made after the seat reduction date
of March 30, 2015 are based upon availability. Final payment due by July 20, 2015. Please note: deposits are fully refundable up until March 30, 2015, after
that date certain charges apply.
YOUR INFORMATION:
Clearly print your full name (first/middle/last) as it appears on your government issued travel documentation.
IMPORTANT: In order to avoid any unnecessary change fees, it is imperative that all guest names are entered correctly from the start. The information below must be
the legal name and be 100% identical to the ID being used to travel <passport/driver’s license> including middle names or suffixes <Jr, Sr>.
First:
Middle:
Last:
Nickname:
Gender: ( ) Male
( ) Female Date of Birth: (month/day/year)
Address:
Phone: (
Suffix:
City:
)
Cell: (
Passport Number:
State:
)
Email Address:
Expiration Date: (month/day/year)
Date of Issuance: (month/day/year)
City, State, Country of Issuance:
Citizenship:
Emergency Contact:
ROOMING WITH:
Zip Code:
Phone: (
)
 Check if address is the same as Passenger #1
First:
Middle:
Last:
Suffix:
AIR GATEWAY: Departure airport for this tour:
Air Seat Request: ( ) Aisle ( ) Window ( ) Next To Traveling Companion
Collette cannot guarantee your seat preference. If you have not purchased air through Collette and wish to purchase transfers, you must transfer at our pre-scheduled times.
Please reserve an upgrade to Elite Airfare for an additional rate of:  Business Class $3,790
Service is limited and not available on all flights or carriers. Other restrictions may apply. Please note: if you purchase an upgrade we cannot guarantee
the same flight schedule as the group.
Are you willing to separate from the group air schedule to accommodate your upgrade request? ( ) Yes ( ) No
“Federal law forbids carriage of hazardous materials such as aerosols, fireworks, lithium batteries & flammable liquids aboard the aircraft in your checked or carry-on baggage. A
violation can result in 5 years’ imprisonment and penalties of $250,000 or more. Details on prohibited items may be found on TSA’s “prohibited items” web page:
http://www.tsa.gov/traveler-information/prohibited-items.”
TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $260 ( ) No, I decline
If you choose not to purchase Collette's Waiver Insurance Plan, you will incur penalties for changes and cancellations. Travel Protection Payment is due with first deposit. The Waiver
Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to departure. The single supplement
will be deducted from the refund of the person who cancels. (There is coverage under Part B which includes a single supplement benefit of $1,000 for certain covered reasons.
See Part B for details.)
EXTENSION: I wish to purchase "Madeira Island" ( ) Yes ( ) No
PLEASE MAKE CHECKS PAYABLE TO: Collette ( ) Check ( ) Credit Card
Waiver/Insurance Amount: $___________________ Deposit Amount: $___________________ Total amount enclosed: $___________________
Cardholder Name (if paying by Credit Card):
Cardholder Billing Address:  Check if address is the same as above
Cardholder Phone:
Credit Card Number:
Amount: $
________________
Expiration Date:
SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use:
Date:
____
M
M
Y
Y
I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See http://www.gocollette.com/aboutcollette/terms-and-conditions for full terms and conditions of your purchase.
Important Conditions: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for
charges resulting from increases in government-imposed taxes or fees.
Are you a Chamber member or have you traveled with the Chamber in the past? ( ) Yes ( ) No