162 Middle Street • Pawtucket, RI • 02860 Phone: 1-800-852-5655 • Fax: 1-888-722-7307 Email: [email protected] Thursday, January 08, 2015

Revised Group Reservation Confirmation Letter Thank you for choosing Collette. We sincerely appreciate your business. Tour: Reflections of Italy Departing: Monday, September 28, 2015 Please carefully review this letter as your confirmation for travel. Included below is a summary of your departure date, destination, group reservation number, and financial terms. Please initial and sign this confirmation form and return to Collette. Please keep a copy for your records. Please note the date of your tour has been changed from 10/28/15 to 9/28/15. Lake County Retired Teachers 1087 Freedom Cir S Crown Point, IN 46321-1146 Attn: Jeanne Wease Phone: (219) 662-2867 Deposit Amount Final Payment Due Departure Gateway Number of Seats Held Seat Reduction Date

Group Reservation Number District Sales Manager Currency Code

670172 M6 – Tracy Edwards USD

$250 Per Person due with names upon reservation. Jul 28, 2015 OHare Intl Airport 12 Mar 30, 2015

Base per person Rates: Double $4,499; Single $5,399; Triple $4,449 * (see terms) (Base Rates include the following components. Items with double asterisk (**) are not included in the above rates) (Rates and components are based on a group of 10 or more, unless otherwise noted) Start Date

End Date

Item

Sep 28, 2015

Sep 28, 2015

Sep 28, 2015 Sep 29, 2015

Sep 28, 2015 Oct 07, 2015

Package: Hometown Transfer Outbound (Air Inclusive w/in 100 mi. radius) Package Airfare - OHare Intl Airport (ORD) Reflections of Italy

Sep 29, 2015 Sep 29, 2015 Sep 29, 2015

Sep 29, 2015 Sep 29, 2015 Sep 29, 2015

Oct 07, 2015

Oct 07, 2015

Oct 07, 2015

Oct 07, 2015

Price

Double Single Triple

Transfer: Rome Arrival Transfer Package: Air taxes and fees - Air Taxes and Fees Insurance: Land & Air Waiver and Travel & International 9 Days or More - Land/Air Package: Hometown Transfer Return (Air Inclusive w/in 100 mi. radius) Transfer: Malpensa/Milan Departure Transfer

Commission %

Included

0

* $1,400 $2,949 $3,849 $2,899 Included $150 $260 **

10 10 10 10 0 0 10

Included

0

Included

0

Commission payable to Lake County Retired Teachers IMPORTANT CONDITIONS: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees. Once deposited, you have 7 days to send us written consumer consent or withdraw consent and receive a full refund. (See registration form for consent.)

Initial ______

Thursday, January 08, 2015 Group Reservation Number: 670172 GROUP AIR CONFIRMATION We have confirmed 12 air seats at $1550 per person for your group. Names are due by Mar 30, 2015 and additional request after this date will be subject to availability at time of booking. Please review and sign acceptance of schedule and terms. _________________________________________ Date: ______________

TERMS Air

  

Economy air rate and schedule are applicable for groups of 10 or more traveling on the same flights and dates. Air rates, schedules, taxes and fees are subject to change until passengers have paid in full. If air is cancelled within 120 days of departure, penalties may apply (see Cancellation Charges below). Name changes are subject to penalties within this time period. If waivers have not been purchased and a reservation is cancelled for any reason prior to departure - Air is 100% non-refundable once paid in full. Groups who purchase Collette Air will receive complimentary hotel transfers on the scheduled day of arrival and departure, not including pre or post stays.

 Air Charges *  *Airfare: For your convenience, we offer airfare for purchase with all vacation packages.

If you purchase an air inclusive program, your airfare will be quoted inclusive of all fuel, taxes and fees. Your rates are subject to change until paid in full. Seats are limited and may not be available on every flight or departure date. Checked Baggage Charges: Some airlines may impose additional charges if you choose to check any baggage. Please contact your airline or refer to its website for detailed information regarding your airline’s checked baggage policies.

Deposits and Names

  

A per person deposit is due with passenger names Should your clients decide to purchase our trip cancellation waiver they must do so at time of booking Payment of a per person waiver fee guarantees a full refund of all payments (including deposit) except for the waiver fee itself, in case of cancellation of travel plans for any reason prior to the day of departure. All names submitted to Collette must appear exactly as shown on passengers' passports. Any name changes are subject to penalty.

  Pre-Sold Options/Pre-Post Hotels/Extensions  5% commission is paid on pre-sold options. (Some options may be non commissionable.)  Please note that the Abu Simbel & Xian optional tours are non-commissionable.  Options purchased on tour are non-commissionable.  Extension commission will match land commission  10% commission is paid on pre or post hotels. Revision Fees  A handling fee of $25 per change will be assessed for any change or revision made to a reservation.  A change of tour date or tour itinerary within the guidelines of the cancellation policy will be treated as a cancellation and regular cancellation fees apply.  If flight changes or flight cancellations are requested, revision fees or airline cancellation fees will apply.  A voluntary change of departure within 90 days of original departure date will be treated as a cancellation and cancellation charges will apply. Seat Reductions  On the seat reduction date, your group space will be reduced to the number of seats under deposit with names. Triple Rooms  Triple rooms are normally a standard double room with 2 beds. A cot or rollaway bed may be requested but not guaranteed due to size of room and fire codes. If you have not purchased waivers, and you need to cancel for any reason prior to the day of departure, the Cancellation Fees are as follows:

Cancellation Charges for this tour: After your seat reduction date has passed, a non-refundable deposit will be retained. For Cancellation between 60-16 days prior to departure: cancellation fee of 30% of total price. For cancellation between 15-1 days prior to departure: cancellation fee of 50% of total price. For cancellation on the day of departure and after: 100% of total price. For Ocean Cruises: For cancellation between 90-61 days prior to departure: cancellation fee of 35% of total price. For cancellation between 60-31 days prior to departure: 60% of total price. 30 or fewer days prior to departure: 100% of total price. For River Cruises: including Europe, Russia, Egypt and China, 90-61 days prior to departure: cancellation fee of 50% of total price. For cancellation between 60-31 days prior to departure: cancellation fee of 85% of total price. For cancellation 30 or fewer days prior to departure: cancellation fee of 100% of total price. For Galapagos and Antarctica: A cancellation fee of 60% will apply for cancellation between 120-90 days prior to departure; A cancellation charge of 100% will apply for cancellation less than 90 days prior to departure. Cancellation protection is highly recommended and must be purchased at time of deposit. Air rates are subject to change until tour is paid in full. If Travel Protection Plan has not been purchased and a reservation is cancelled for any reason prior to departure - Air is 100% non-refundable once paid in full. Cancellation charges also apply to reservations made for "pre" and "post" night accommodations. Payment of a Per Person Travel Protection Plan Fee guarantees a full refund of all payments (including deposit), except the Travel Protection Plan Fee itself, made to Collette for travel arrangements in case of cancellation of your travel plans for any reason prior to the day of departure. The Travel Protection Plan Fee with Air only covers airline tickets you have purchased from Collette. Exception: If you originally purchased non-refundable airline tickets, the Travel Protection Plan does not provide a refund for the airline tickets, taxes or fees, in the event of cancellation. This air ticket is covered by Collette's travel protection plan under Part B, if you cancel your trip for covered reasons (see Part B for more details). The Travel Protection Plan Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to departure. However, the Part B travel insurance includes a single supplement benefit of $1,000 for certain covered reasons as detailed in Part B. In this case, the single supplement will be deducted from the refund of the person who cancels. Division of this charge between the two passengers involved is solely their responsibility. If insufficient funds are deducted from the canceling client, the traveling client will be charged the remaining portion of the single supplement. Cancellation waiver protects you from penalties in the event you have a need to cancel your entire inclusive tour package up to the day prior to departure. Cancellation waiver does not indemnify you from penalties if you chose to cancel partial tour components or air. If you chose to partially cancel your vacation, you will be responsible for a revision fee as well as any penalties that are incurred at the time of the cancellation. Upon cancellation of transportation or travel services where you, the customer, are not at fault and have not canceled in violation of the terms and conditions above, you will be refunded 100%. Please see your sales agent for more information, or review our brochure for details. ARBITRATION: I agree that any dispute concerning, relating, or referring to this contract, the brochure or any other literature concerning my trip, or the trip itself, shall be resolved exclusively by binding arbitration according to the then existing rules of the American Arbitration Association in the State of Rhode Island. Such proceedings will be governed by and in accordance with substantive Rhode Island law. The arbitrator and not any federal, state, or local court or agency shall have exclusive authority to resolve any dispute relating to the interpretation, applicability, enforceability, conscionability, or formation of this contract, including but not limited to any claim that all or any part of this contract is void or voidable. If any information is not correct, please notify us within 24 hours.

Please send payment to:

Collette Attn: Accounts Receivable 162 Middle Street Pawtucket RI, 02860 Fax: 1-401-727-9014

Initial ______

Lake County Retired Teachers presents…

Reflections of Italy Departing September 28 – October 7, 2015 Highlights.... Book Now & Save $

200

Rome ● Colosseum ● Assisi ● Perugia ● Siena Florence ● Chianti Winery ● Venice Murano Island ● Milan

Per Person

10 Days ● 14 Meals: 8 Breakfasts ● 1 Lunch ● 5 Dinners

BOOK NOW: Double $4,299; Single $5,199; Triple $4,249 Regular rates: Double $4,499 ; Single $5,399; Triple $4,449 * All Rates are Per Person and are subject to change

Included in Price: Round Trip Air from OHare Intl Airport, Air Taxes and Fees/Surcharges, Hotel Transfers Not included in price: Cancellation Waiver and Insurance of $260 per person Upgrade your in-flight experience with Elite Airfare Additional rate of: Business Class $4,990 † Refer to the reservation form to choose your upgrade option IMPORTANT CONDITIONS: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees. Once deposited, you have 7 days to send us written consumer consent or withdraw consent and receive a full refund. (See registration form for consent.)

COLLETTE EXPERIENCES  Experience the benefits of personal audio headsets, designed for better communication between you and your guides throughout your tour.  Discover Siena’s narrow Gothic streets, magnificent palaces and historic Piazza del Campo.  A tour of Florence showcases the cultural treasures of the “Cradle of the Italian Renaissance.”  Enjoy a visit to one of Chianti’s treasured wineries complete with a visit to its medieval castle and a special lunch.  Spend a day in the breathtaking region of Umbria as you visit two of its most important cities: Assisi and Perugia. Day 1: Overnight Flight Welcome to Italy, a land rich in history, culture, art and romance. Your journey begins with an overnight flight. Day 2: Rome, Italy - Tour Begins Welcome to Rome, “The Eternal City.” This evening, join your fellow travelers for a special welcome dinner at a popular local restaurant featuring regional delicacies and fine Italian wines. Today dinner will be included.

Day 3: Rome This morning you’ll come to know the history and traditions of Rome while on a locally-guided panoramic tour featuring the impressive Piazza Venezia, the Circus Maximus, the Arch of Constantine, the famous Piazza Navona and a visit to the Colosseum. This afternoon it’s your choice! Perhaps a trip to Vatican City, with an optional tour to the Vatican Museums and St. Peter's Basilica*, will be on your personal sightseeing list. Today breakfast will be included. Day 4: Rome - Assisi - Perugia Ease your way into the local culture as your tour manager shares a few key Italian phrases. Travel to Assisi, birthplace of St. Francis. Take in the old-world atmosphere on a guided walking tour of the old city, including the Basilica of St. Francis. Then you are off to medieval Perugia, the historic capital of Umbria. Behold one of the grandest squares in Italy, the Piazza IV Novembre, and delight in the medieval palaces and ornate cathedrals. Today breakfast and dinner will be included. Day 5: Perugia - Siena - Florence A scenic journey through Tuscany’s graceful low-lying hills brings you to the mystical city of Siena. Delight in its narrow Gothic streets, magnificent palaces and historic Piazza del Campo. After a

walking tour with a local expert, take some time to explore the medieval corners of Siena. You are sure to find many surprises among its shops and outdoor cafés. Arrive in Florence and enjoy some free time before gathering for dinner. Today breakfast and dinner will be included. Day 6: Florence In Florence, the “Cradle of the Italian Renaissance,” visit the world-famous Academy Gallery to see Michelangelo’s incredible statue of David. During your cultural tour of Florence you'll also view the Cathedral of Santa Maria del Fiore, the Palazzo Vecchio and the Church of Santa Croce. The remainder of the day is at leisure to enjoy this fascinating city on your own. Today breakfast will be included. Day 7: Florence - Venice Start your day with a visit to a historic winery in the heart of the Chianti region. In the shadow of its 12th-century castle, learn about the winery’s famed Tuscan wines and enjoy a light lunch filled with local specialties. This afternoon, journey through central Italy, crossing the wooded Apennine Mountains toward the Valley of the Po. Enchanting Venice awaits with 117 tiny islands and its latticework of 150 canals and 400 bridges. Today breakfast, lunch and dinner will be included.

YOUR ITINERARY AT A GLANCE Day Day Day Day Day Day

1 2, 3 4 5, 6 7, 8 9

Overnight Flight Massimo D'Azeglio Hotel, Rome Sangallo Palace Hotel, Perugia Starhotels Michelangelo Florence, Florence Hotel Carlton on the Grand Canal, Venice Crowne Plaza Milan Malpensa, Malpensa On some dates alternate hotels may be used.

Please Note: Book Now rates valid until Mar 30, 2015, valid on air inclusive packages only. Economy air rate and schedule are applicable for groups of 10 or more traveling on the same flights and dates. *Due to the unpredictable nature of the events schedule at the Vatican, on certain dates it may be necessary to visit the Vatican Museums in the afternoon. **On occasion, due to inclement weather, your boat trip to Murano Island may be substituted with a visit to a local glass factory in Venice. Vatican Museums are closed on Sundays and holidays that fall on Saturday. Most national museums in Florence, including the Uffizi Gallery and the Academy, are closed on Mondays.

Day 8: Venice - Murano Island - Venice See Venice from the water this morning as we board a boat** (weather permitting) bound for Murano Island for an up-close glass making demonstration. Discover the secrets of this ancient art and marvel at the intricate designs of each one-of-a-kind piece. Next, return to Venice and visit lively St. Mark’s Square, the cultural hub of the city. Uncover the stories of Venice as a local expert guides you on a walking tour of the area featuring St. Mark’s Basilica, the Doge’s Palace, the Bridge of Sighs and the Clock Tower with its famous Moors. Today breakfast will be included. Day 9: Venice - Milan Malpensa Today you travel to Milan. Take in some of the city’s amazing sights on a locally-guided panoramic tour including the Duomo – this magnificent Gothic cathedral is the third largest church in Europe, the Opera House La Scala and Vittorio Emanuele Gallery. Later, perhaps you will indulge in some shopping at the “Quadrilatero della Moda,” Milan’s high-fashion district. Continue to Milan Malpensa for a farewell dinner celebrating the end of an unforgettable trip. Today breakfast and dinner will be included. Day 10: Milan Malpensa - Tour Ends Your tour comes to a close in Milan Malpensa this morning. Today breakfast will be included. To complete your tour, we include roundtrip airport-to-hotel transfers when purchasing Collette airfare with your tour. If you have arranged for your own air, we are pleased to provide you the option of purchasing these transfers. Please note that all transfers will leave at pre-scheduled times. Please note that most shops and businesses in Italy are closed on Sundays and on national/religious holidays. When the Vatican option falls on a Wednesday, the order of included and optional tours may be reversed in order to participate in all activities for that day. Please be advised many airlines do not provide advance seat assignments until check-in at the airport. Advance seating will be subject to the airline's terms and conditions. This tour includes moderate physical activity. Walking tours, as well as walking slightly longer distances, up stairs or on uneven walking surfaces should be expected. Some of the most unique sightseeing can mean accessing locations that restrict motorcoaches, especially in historic areas. For your comfort, we recommend bringing walking shoes. If you require a walker or wheelchair, or have difficulty walking, you may not be able to access some of these areas and may want to consider an alternate program with us. Our travel counselors can provide additional information or assistance to help you determine the perfect trip for you. CST#2006766-20 UBN#601220855 Nevada Sellers of Travel Registration No. 2003-0279

For important reservation information visit https://gateway.gocollette.com/link/670172. You can also find this information on your tour documents.

Single accommodations are limited and are available on a first come, first served basis.

For more information contact Jeanne Wease (219)662-2867 ● 1-800-581-8942 Refer to booking#670172

162 Middle Street Pawtucket, RI • 02860 Phone: 1-800-752-2655 Fax: 1-401-727-9014

If paying by credit card, please complete this form and return to Collette. We can only charge your credit card for the amount noted if the signature, address and phone number are listed below. Thank you! CREDIT CARD AUTHORIZATION FORM BOOKING NUMBER: 670172 DEPARTURE DATE: September 28, 2015

TOUR: Reflections of Italy GROUP NAME: Lake County Retired Teachers

Name of Passenger: Salutation:______ First Name:__________________ Middle Initial:____ Last Name:_________________ Suffix:____ (Mr., Mrs., Rev.)

(Please print as it appears on Passport)

(Jr., Sr.)

Cardholder Name: _________________________________________________________________ (Please print as it appears on your Credit Card)

Cardholder Address: _______________________________________________________________ (as it appears on your credit card statement)

_________________________________________________________________________________ Cardholder Phone: _________________________________________________________________ Credit Card Type:

___American Express

___Discover

___MasterCard

___Visa

Credit Card Number: _______________________________________________________________ Expiration Date: ___________________________ Amount to be charged: $ ___________________ Cardholder’s Signature: ____________________________________ Date: ___________________ I agree to pay according to the card issuer agreement. I understand and accept Collette cancellation policy, terms and conditions. Participating credit card companies are now requiring a billing address and phone number for FRAUD PREVENTION. All information MUST be provided. Thank you for your cooperation! If using your credit card for payment, please return this Authorization Form by mail to: Collette 162 Middle Street Pawtucket, RI 02860 Or by Fax: 1-401-727-9014

 Above credit card information has been called in to Collette.

162 Middle Street Pawtucket, RI • 02860 Phone: 1-800-752-2655 Fax: 1-401-727-9014

BOOKING NUMBER: 670172 DEPARTURE DATE: September 28, 2015

TOUR: Reflections of Italy GROUP NAME: Lake County Retired Teachers

Available Options Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your individual experience. Complete the provided Prepaid Options Form to reserve your options. Availability is limited and reservations are on a first come, first serve basis. Payment must be received no later than 15 days prior to departure. Prices are subject to change. Children under the age of 18 MUST be accompanied by an adult.

Rome The Vatican Museums and St. Peter's Basilica $85 USD The Vatican Museums are not only home to one of the world’s greatest collections of art, but also to the worldfamous Sistine Chapel. Priceless artifacts from ancient Egypt, Etruscan Italy and cultures around the world are preserved in the Vatican’s palaces, galleries, halls, and rooms. Follow a local expert guide on a three hour, in-depth visit through this vast collection. Highlights include the Gallery of Maps, the Gallery of Tapestries, and of course, a visit to the Sistine Chapel. The chapel’s famous ceiling frescoes took Michelangelo four years to complete. His brilliant Last Judgment, which rests on the altar wall, was a topic of controversy for centuries. Other walls feature paintings by Pietro Perugino, Sandro Botticelli, Cosimo Rosselli, and Domenico Ghirlandaio. Your final stop will be at St. Peter’s Basilica, one of the most important churches in Christendom, and until recently, the largest in the world. Price includes admission and the use of headphones inside the museum. It is highly recommended to book this optional tour in advance of your tour departure. Duration: Approximately 4 hours. Please note a minimum of 15 passengers is required. Transportation is included. Florence Tuscan Feast $85 USD This evening, set off on a scenic drive to nearby Galluzzo, a historic town famous for its Carthusian monastery which rests upon one of the beautiful hills surrounding Florence. Prior to dinner, enjoy an after-hours visit to this 14thcentury monastery – La Certosa*. Revel in the beauty that lurks inside and experience the monastery’s magnificence as you learn about monastic daily life. Then, your evening of fun continues at one of the area’s most popular dining establishments. Experience an authentic and traditional dinner – served family-style! Savor local wines and Tuscan food and enjoy the entertainment. It’s a memorable – truly Italian – evening out that you won’t want to miss! Gratuities are included. *Visit to the monastery may not be possible when weddings are taking place. Duration: Approximately 4.5 hours. Please note a minimum of 15 passengers is required. Transportation is included. Rome Rome by Night

$89

USD

“Dine with the Tenors” at a very popular Roman restaurant, where you’ll indulge in a hearty, traditional, four-course menu complete with wine. As you enjoy the delicious tastes of Italy, talented performers serenade you with favorite arias from best-loved operas. This lively, fun-filled evening will be an unforgettable part of your visit to Rome and an engaging immersion into Italian culture. After dinner, embark on the enchanting Rome by Night tour, seeing the famous landmarks of the “Eternal City” illuminated against the night sky. See the Colosseum, Roman Forum, Victor Emmanuel Monument, and many other highlights. Remember your evening of Italian romance and charm with a souvenir opera CD – one per couple and one for singles. Duration: Approximately 4 hours. Please note a minimum of 10 passengers is required. Transportation is included.

Venice Venetian Serenaded Gondola Cruise $75 USD Experience the romance that can only be found in Venice – La Serenìssima – while traveling on its famous waterways, when you partake in one of Venice’s most famous pastimes – a gondola cruise. Take a pleasant stroll toward the Grand Canal to board your gondola. As you relax in your elegant watercraft, your gondolier navigates the Grand Canal as well as smaller side canals. Admire the scenery as you listen to the melodic voice serenading you in true Italian style – just like in those romantic Italian movies! This option operates weather permitting. Duration of the gondola cruise is approximately 35 minutes. Duration: Approximately 1 hour. Please note a minimum of 12 passengers is required. Transportation is not included.

PASSENGERS NAME: (Please submit a separate form for each passenger) Salutation:____ First:___________________ Middle:_________________ Last:______________________ Suffix:____ Nickname:_____________ (Mr., Mrs., Rev.)

( Please print EXACTLY as it appears on Passport)



Option The Vatican Museums and St. Peter's Basilica

(Jr., Sr.)

Price Per Person (USD) 85.00

Price includes admission and the use of headphones inside the museum. It is highly recommended to book this optional tour in advance of your tour departure.

Tuscan Feast

85.00

Gratuities are included. *Visit to the monastery may not be possible when weddings are taking place.

Rome by Night Venetian Serenaded Gondola Cruise This option operates weather permitting. Duration of the gondola cruise is approximately 35 minutes. Please make checks payable to Collette and send to:

Collette 162 Middle Street Pawtucket, RI 02860

Fax: 1-401-727-9014

89.00 75.00

RES#: 670172 TRAVEL DATE: 9/28/2015 TERRITORY: M6

Reflections of Italy

For Reservations Contact: Jeanne Wease (219) 662-2867 or 1-800-581-8942 Refer to booking#670172 Collette, 162 Middle Street, Pawtucket, RI 02860 Fax: 1-401-727-9014 A deposit of $250 per person due upon reservation. Reservations are made on a first come, first served basis. Reservations made after the seat reduction date of March 23, 2015 are based upon availability. Final payment due by July 28, 2015. Please note: deposits are fully refundable up until March 30, 2015, after that date certain charges apply.

YOUR INFORMATION: Clearly print your full name (first/middle/last) as it appears on your government issued travel documentation.

IMPORTANT: In order to avoid any unnecessary change fees, it is imperative that all guest names are entered correctly from the start. The information below must be the legal name and be 100% identical to the ID being used to travel including middle names or suffixes .

First:

Middle:

Last:

Nickname:

Gender: ( ) Male

( ) Female Date of Birth: (month/day/year)

Address: Phone: (

Suffix:

City: )

Cell: (

Passport Number:

State:

)

Email Address:

Expiration Date: (month/day/year)

Date of Issuance: (month/day/year)

City, State, Country of Issuance:

Citizenship:

Emergency Contact: ROOMING WITH:

Zip Code:

Phone: (

)

 Check if address is the same as Passenger #1

First:

Middle:

Last:

Suffix:

AIR GATEWAY: Departure airport for this tour: Air Seat Request: ( ) Aisle ( ) Window ( ) Next To Traveling Companion

Collette cannot guarantee your seat preference. If you have not purchased air through Collette and wish to purchase transfers, you must transfer at our pre-scheduled times.

Please reserve an upgrade to Elite Airfare for an additional rate of:  Business Class $4,990 Service is limited and not available on all flights or carriers. Other restrictions may apply. Please note: if you purchase an upgrade we cannot guarantee the same flight schedule as the group. Are you willing to separate from the group air schedule to accommodate your upgrade request? ( ) Yes ( ) No TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $260 ( ) No, I decline

If you choose not to purchase Collette's Waiver Insurance Plan, you will incur penalties for changes and cancellations. Travel Protection Payment is due with first deposit. The Waiver Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to departure. The single supplement will be deducted from the refund of the person who cancels. (There is coverage under Part B which includes a single supplement benefit of $1,000 for certain covered reasons. See Part B for details.)

PLEASE MAKE CHECKS PAYABLE TO: Collette ( ) Check ( ) Credit Card Waiver/Insurance Amount: $___________________ Deposit Amount: $___________________ Total amount enclosed: $___________________ Cardholder Name (if paying by Credit Card): Cardholder Billing Address:  Check if address is the same as above Cardholder Phone: Credit Card Number:

Amount: $

________________

Expiration Date:

SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use: Date:

____ M

M

Y

Y

I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See http://www.gocollette.com/aboutcollette/terms-and-conditions for full terms and conditions of your purchase. Important Conditions: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees.