Tour Reservation Form

Name*
0 of undefined max characters
Phone*
Address*
Street AddressAddress Line 2CityState / ProvinceZIP / Postal Code
Tour Name*
0 of undefined max characters
Tour Date*
0 of undefined max characters
Email*
0 of undefined max characters
Departure Location*
0 of undefined max characters
Please consult individual itineraries for departure locations.
I/We Prefer (Special Needs)*
- Wheelchair Accessible Motorcoach
- Walking Challenged
- Handicap Room
- First Floor Rooming Accommodations (For health reasons, on if elevators are not available)
Select a Room Preference*
Select a Smoking Preference*
Meal Choice(s)*
Special Requests*
Roommate/Traveling Partners
If you have friends traveling with you, please include their names and addresses below.
Roommate 1 Name*
0 of undefined max characters
Roommate 1 Address*
Street AddressAddress Line 2CityState / ProvinceZIP / Postal Code
Roomate 1 Phone*
Roommate 2 Name*
0 of undefined max characters
Roommate 2 Address*
Street AddressAddress Line 2CityState / ProvinceZIP / Postal Code
Roomate 2 Phone*
Adjoining Room -- With who*
0 of undefined max characters
Fill out only if you are requesting an adjoining room, otherwise leave blank.
Reservation is NOT CONFIRMED until a payment is received
How would you like to make a payment? (check one)*
- I will mail a check with my deposit/final payment
- I will contact the tour office to provide my payment details. 207-827-2010

Please fill out this form for each passenger travelling and mail it to Cyr Northstar Tours, P.O. Box 368, Old Town, Maine 04468

.