2018 Taste Vacations Information Form

Please submit one form per person.

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* 1. First Name

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* 2. Last Name

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* 3. Your Mobile Phone Number if you will be bringing it on the trip.

Your Mobile Phone #

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* 4. Emergency Contact (someone who is not traveling with you)

Name

Phone Number

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* 5. Your Occupation

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* 6. Do you have any dietary needs or health conditions we should be aware of?

Please be specific – for example, if you are a vegetarian, do you eat fish or dairy? If you have a life-threatening allergy (such as a peanut allergy) that can be transmitted via air or second-hand touch, please discuss this with us in advance and plan to carry an epi pen with you at all times. If you have no dietary needs or health concerns, please write None.

PASSPORT INFORMATION

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* 7. Name exactly as it appears on your passport

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* 8. Issuing Country

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* 9. Passport Expiration Date

Date

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* 10. Passport Number

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* 11. Most of Taste Vacations' Tours include drinking of alcoholic beverages. If you have any restrictions or concerns about this, please let us know.

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* 12. If you would like us to send information about our tours to your friends/family please write in their names and email addresses below.

Referrals are very, very important to our success and we appreciate your referrals. We will never provide your friends' contact information to other organizations.

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* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Your Mobile Phone Number if you will be bringing it on the trip.

Question Title

* 4. Emergency Contact (someone who is not traveling with you)

Question Title

* 5. Your Occupation

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* 6. Do you have any dietary needs or health conditions we should be aware of?

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* 7. Name exactly as it appears on your passport

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* 8. Issuing Country

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* 9. Passport Expiration Date

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* 10. Passport Number

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* 11. Most of Taste Vacations' Tours include drinking of alcoholic beverages. If you have any restrictions or concerns about this, please let us know.

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* 12. If you would like us to send information about our tours to your friends/family please write in their names and email addresses below.

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* 13. Do you have any other comments for us?