Directions:  Complete the application, make a copy and  send this with a nonrefundable deposit of  $150 per person
 (bef          payable to Travel Team, LLC.  Put "Beyond the Leaf " on the memo line.  
                 Send to 
Travel Team, LLC  209 Lewis Road   Beaufort, NC 28516. 

                 When Travel Team receives your application, we will  immediately send you contracts,  an invoice, an itinerary,
applic     travel insurance information with  waiver, and trip information 
  (This trip is limited to 40 patrons)

1.Full        1.  Legal name (s)  as on Driver’s License _________________________________________

2               2. Phone________________________________          Cell _________________________      
                     Email___________________________________     Birth date(s) ____________

3.             3. Mailing Address: ______________________________________________________  

4.  Ro       4. Rooming with  _______________________________________________________
5.    
            Bed  configuration:    ____   two doubles /queens    ____King      

7. Tr         5.
Travel Cancellation Insurance is strongly advised . Your deposit is non-refundable.  Closer
                          to the trip, the entire cancellation cost is your responsibility according to contract agreement.  Insurance
                         must be purchased within 15 days of first deposit in order to cover existing conditions.

                   Do you want travel insurance information for this trip?  ____yes    _____no 
  .
8.  Do       6. Do  you have any health related needs which require special accommodations? ____no
                       ____yes (explain)    _____________________________________________

   9. Do        7. Do you have any special eating-related needs?  _______________________________

10 Em       8. Emergency Contact _________________________________ Phone______________

11.            9. How did you hear about this trip?   ___ Travel Team   ____ a friend  ___this website
                    _____The History Place    ______ NC Wine website.

                10.  Pick up point:   _____  Beaufort    ______K Mart Morehead City    ____ New Bern TRA

                           ______  Goldsboro    ______  Streets of South Point Durham
               
      
             
 BASE COST PER PERSON    
   
$2          $660  One/room        $550  Two/ room      $510  Three/ room     $490 Four /room

                                  MY BASE COST  __________  (X2 if couple)
                 
Subtract   Deposit   _________$150/ Person  ( Non-refundable)
                                                
  ________   BALANCE REMAINING

Payment Options:   Check one.
  ____  1)  Deposit  $150/person  plus balance in full on  September 1   ( No handling fee)
  ____  2)  Deposit $150/person  plus  two  equal payments with a handling fee of  $5
                    Aug 15                September 1
5

 _____

 

                                 
                          

 

 

 

 

 

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