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ElderTreks Tour Registration Form

In order for us to finalize and confirm your booking, please return this competed form ASAP after booking over the phone with one of our team members.

Please note that this registration form is NOT required for any booking to the Arctic, Antarctic, French Polynesia, Haida Gwaii, Polar Bears of Churchill, or Heli-Hiking. You can find the forms for these trips by clicking HERE

Please Select Tour Departure Date

Guest 1 (As per passport) Guest 2 (As per passport)

Guest 1 - First name

Guest 1 - Last name

Guest 1 - Address

Guest 1 - Home Phone

Guest 1 - Email

Guest 1 - Date of Birth (mm/dd/yy)

Guest 1 - Sex

Male

Female

Guest 2 - First name

Guest 2 - Last name

Guest 2 - Address

Guest 2 - Home Phone

Guest 2 - Email

Guest 2 - Date of Birth (mm/dd/yy)

Guest 2 - Sex

Male

Female

1-800-741-7956 North America . 0808-234-1714 United Kingdom . 1-416-588-5000 Worldwide . 1-647-945-8807 Fax

ElderTreks Tour Registration Form

Guest 1 (As per passport) Guest 2 (As per passport)

Guaranteed Departures

Click here to view our online Catalogue