Phone: - - Relation: Check Number: [Please make payable to: Cousin Trips, Inc. Amount: $

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1 Cousin Trips Application- Italy 2015 Please complete a separate application for each traveler Name : (as it appears on your passport) Place of Birth: Gender: Male Female Mailing Address: DOB: / /19 Citizenship: City: State: Zip: Home Phone: - - Cell Phone: - - Alternate Phone: - - Address: Alternate: Emergency Contacts Contact Name: Contact Name: Phone: - - Relation: Phone: - - Relation: Trip Selection and Method of Payment Venice, Florence & Rome June 18-26, 2015 $3,914 from JFK Airport in NY Check Check Number: [Please make payable to: Amount: $ Credit Card (Please complete credit card authorization form) Amount: $ Mail or Fax completed Application and signed General Terms & Conditions along with payment to: 5200 Dallas Highway Phone: Fax: Page 1 of 5

2 General Terms & Conditions Application and Reservations A *non-refundable deposit of $ per person is required when your application is submitted and full payment is due 90 days prior to the Trip departure date. If a reservation is made for a trip within 90 days of the scheduled departure date, the entire amount is due at the time of confirmation. All Cousin Trips travelers must complete a Cousin Trips Application and sign the General Terms & Conditions to confirm travel plans. International & Domestic Airline Ticket The sole and exclusive responsibility and liability of any carrier used in conjunction with Cousin Trips shall be in accordance with and is limited by the contract of carriage in the passenger s ticket. Any inconvenience caused by that carrier is not the responsibility of Cousin Trips. Travelers insurance is recommended for international travel. Domestic airfare from your home city to the trip departure city is not included in the trip price. Ground Transportation and Accommodations The trip price includes transportation from New York - JFK International Airport. Hotel accommodations are 4 star properties and priced for double occupancy. Single supplements are available for an additional fee. Meals Breakfast is included daily. Additional meals are included according to the itinerary. Transfers All airport / hotel transfers are included as scheduled on your itinerary, when arriving and departing all destinations on the Trip scheduled dates. Tours / Entrance Fees / Gratuities Entrance fees to museums, monuments, parks, and tours outlined on the itinerary are included in the package price. Airport departure taxes (if applicable) are included. Gratuities for tour leaders, drivers, and escorts are not included in the package price. Travelers may elect to give group or personal tips at their discretion at the end of the tour. Baggage Travelers are allowed one suitcase (50 pounds) and one carry-on bag and a personal bag. Travel Documents and Insurance A valid U.S. Passport is required for international travel. Additionally, some countries require a visa for entry. Trip package price does not include passport or visa fees. It is recommended that each traveler purchase traveler s insurance when traveling to international destinations. Cancellations and Refunds Refunds will be paid (excluding the *non-refundable deposit of $ based on the following schedule 90 days or more prior to departure Full refund days prior to departure 25% of payment refunded Less than 60 days prior to departure No refunds issued Page 2 of 5

3 Trip Operator Responsibility and Liability Cousin Trips act as agents in making arrangements for: airline flights, hotel accommodations, ground transportation, and tours. As agents we are not liable for any injury, damage, loss, accident, delay, or irregularity that may be occasioned by reason of any defect in any vehicle or nature. We accept no responsibility for losses or additional expenses due to delays or changes in any types of transportation that we contract for tours: airline, train, and motor vehicle; health problems or wars, such as sickness, weather, strikes, civil disturbances, quarantine, or any other causes. All such losses or expenses will be that of the passenger. Cousin Trips reserves the right to change any route or other arrangements, offer substitute, or completely cancel the whole or any portion of a tour should conditions necessitate such. Cousin Trips has the right to decline the acceptance of any person as a member of the tour if the presence of that person will be a disturbance to the group or violate the laws of the host country. *The non-refundable deposit is used for schedule planning, travel arrangements and operational expenses. Traveler Name (please print): Roommate Name: Date: Signature: Credit Card Authorization I give authorization to to charge the amount of $ to my credit card. Card Name: Card # Expiration Date# Code# Signature Date Page 3 of 5

4 NBCC in Italy Itinerary Day 1 Overnight flight to Venice from New York Day 2 - Venice Morning arrival in Venice A guide greets you at the airport and welcomes you to beautiful Venice. From there, you will get settled in at your hotel and then you may spend some free time exploring on your own. Day 3 - Venice Panoramic guided tour of Venice with stops at the Bridge of Sighs and legendary St. Mark s Square. Optional Gondola rides will be available. Day 4 - Florence Travel to Florence in the morning Guided sightseeing tour of Florence with stops at Brunelleschi s masterpiece, the church of Santa Croce, where the tombs of Galileo and Michelangelo are displayed as well as the Dante Memorial. Day 5 - Florence Free day in Florence You may decide to visit the Uffizi Gallery, stroll along the romantic Arno River or visit the Accademia Galleria to view Michelangelo s David. There will be an optional excursion to San Gimignano, a medieval walled city famously depicted by artist M.C. Escher and used as the setting of a novel by John Grisham. Day 6 Rome Arrive in Rome Guided tour of the city that follows the footsteps of Caesar. Highlights include entering the Colosseum, where 50,000 spectators cheered their favorite gladiators to victory. Optional Dinner with Tenors, an evening of Roman cuisine and live music Page 4 of 5

5 Day 7 - Rome Free day in Rome You may choose to head out and stroll across the Spanish Steps. See Bernini s captivating Fountain of the Four Rivers and stop at the legendary Trevi Fountain, into which centuries of visitors have tossed coins to ensure their eventual return to Rome. Optional excursion to St. Paul s Basilica and the Catacombs Day 8 - Rome Free day in Rome Enjoy another free day to further your explorations of ancient Rome. Visit the Pantheon, or tour one of Rome s many important churches. Optional excursion to Vatican City, featuring visits to the Vatican Museums, St. Peter s Basilica, the Sistine Chapel and Michelangelo s Pietà. Farewell Dinner Day 9 - Return Home Breakfast Board flight back to New York Page 5 of 5