Registration Form

Name in full as shown on passport: _________________________________________________

Spouse/friend Traveling with, Passport Name: ________________________________________

Address: __________________________________________________

Email: _______________________ Phone: ______________________

Passport #:  _____________________________

Country: ______ Exp.  Date: _____________

Accommodations:   Single ____   Double with __________________________

Food allergies: ______________________________________________

Welcome Spa treatment:  massage ____ or facial ____

Credit Card Payment:

Name on Card: _____________________________________________

Card #: ____________________________________________________

Exp. Date: ___________________ CVC#: __________________________

Billing address if different from above: _____________________________________________________

I authorize Joie Tours to charge $_____________to my credit card.

Signature: _____________________________________ Date: ____________

I have read and understand the terms of the non-refundable deposit.
Please sign: _________________________________

Travel Ins. Company: __________________  Policy #: _______________

EMERGENCY CONTACT IN U.S.  
Name: ______________________________________
Phone : _____________________________ Email: ______________________________

You may submit this form by email to hello@joietours.com
or Mail form and check to:  
Joie Wilson
Joie Tours
417 Hancock Lake Road
Brooksville, FL 34602