Walking The World’s
Trip Application

APPLICATION INFORMATION

STEP   Fill out the Form below

STEP   Print the form (make sure to include signature(s)
Print from the File Print option of your Internet browser.

STEP   Mail or Fax this application along with your deposit of $400 U.S. to Walking The World. Please note that all prices are subject to change.

APPLY

Trip Name(s):

Trip Date(s):

Your name as it appears in your passport:

Name you prefer to be called:

Telephone:

Address:

City/State/Zip:

Email Address:

Birthdate:

Passport Number:

Date of issue:

Place of issue:

Signature:

_______________________________

Date:

_______________________________

ACCOMMODATIONS

I am traveling alone but wish to share a room if possible.  (I will pay the full Single Supplement rate if no roommate is assigned).

I am traveling with someone and would like to request:

 Twin Beds

 Double Bed

I will share a room with ____________________________

You’ll receive a complementary shirt or hat. Please tell us which you would like.

 Adjustable Hat

 or

Tee Shirt in size

 Small

(based on men’s sizes):

 Medium

 Large

 Extra-Large

METHOD OF PAYMENT

Check/certified cashier's check for $400 deposit enclosed.(payable in U.S. funds) 

I wish to charge the deposit of $400 to my credit card.

 Visa         Mastercard        

Account #

Expiration Date:

Signature _______________________________________