Please submit a separate form for each traveler
NOTE: The name you enter below must be exactly as it appears or will appear on your passport. If you do not have a passport at this time, please submit this form now and provide BMSJ with your passport information after you receive your passport. Your passport expiry date should be more than six months after the ending date of this tour.
First Name (required)
Middle Name (if applicable)
Last Name (required)
Country of Issue (required)
Passport Issue date
Passport Expiry date
Date of Birth (required)
Country of Birth (required)
Mailing Address (required)
ZIP/Postal Code (required)
Your Email (required)
I am: FemaleMale
I am requesting the following Special Discount (check one): Early BirdCoupleFamily
I am requesting the Optional London Extension
I am requesting single accommodation.
I have physical limitations that require special attention. I am entering details in the "Optional Message" area below. (Most situations can be accommodated, but we must know beforehand in order to make arrangements, and there may be additional costs.)
I require a special diet and am entering details in the "Optional Message" area below.
(Optional) My roommate will be:
I do not have a roommate and I understand Body Mind Spirit Journeys will try to match me with a suitable roommate.
Body Mind Spirit Journeys highly recommends the purchase of Trip Cancellation Insurance, and our preferred Insurance provider is Allianz.
(Required) I understand and accept the Terms and Conditions for this program. I understand some or all payments made may be forfeited, based on my cancellation of this program as detailed within the Terms and Conditions linked from this reservation form. Should this trip be cancelled by Body Mind Spirit Journeys, all payments received will be refunded.
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