Registration for Heart of Sicily - 2027"*" indicates required fieldsPrimary Traveler's Name* Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Last Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone number*Email* Enter Email Confirm Email Do you have any allergies or dietary restrictions* Yes NoPlease provide additional information*Please let us know if you do not like seafood No - I do not like seafoodEmergency contact informationEmergency contact name (not traveling with you)* First Last Emergency contact phone number*Emergency contact email* Enter Email Confirm Email Tour detailHeart of Sicily Tour Quantity Price: How many total travelers are you registering?*Please include yourself in the count.Please enter a number from 1 to 4.Total How many rooms do you need to book*Please enter a number from 1 to 2.Room 1 - Would you like to upgrade your standard roomno upgradesJunior suite oceanfront $400.00/person (max 2 occupants)# of Guest in Room 1*This field is hidden when viewing the formJr single rm1Jr singleThis field is hidden when viewing the formJr double rm1Jr singlePlease confirm single room occupancy surcharge* I acknowledge single room surchargeRoom 2 - Would you like to upgrade your standard roomno upgradesJunior suite oceanfront $400.00/person (max 2 occupants)# of Guest in Room 2*This field is hidden when viewing the formJr single rm2Jr singleThis field is hidden when viewing the formJr double rm2Jr singlePlease confirm single room occupancy surcharge* I acknowledge single room surchargeTotal Add additional travelers informationTraveler 2*Please enter name as it appears on passport. Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Last Does Traveler 2 have any allergies or dietary restrictions* Yes NoPlease provide additional information*Please let us know if Traveler 2 does not like seafood No - does not like seafoodTraveler 3*Please enter name as it appears on passport. Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Last Does Traveler 3 have any allergies or dietary restrictions?* Yes NoPlease provide additional information*Please let us know if Traveler 3 does not like seafood No - does not like seafoodTraveler 4*Please enter name as it appears on passport. Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Last Does Traveler 4 have any allergies or dietary restrictions?* Yes NoPlease provide additional information*Please let us know if Traveler 4 does not like seafood No - does not like seafoodHow did you hear about Sicily With Friends?Terms & ConditionsPlease click here to read the Terms & ConditionsConsent to the Term & Conditions* I have read and agree to the Terms & Conditions.Payment Method* Credit Card (3.3% fee added) Pay By Check (mail payment)Make Check Payable To: Sicily With FriendsPlease print your confirmation and mail it with the checkMail payment to:Sicily With Friends1048 Sand Hill RdHershey, PA 17033Final amount to be paid Please submit your payment*Feed Required: To use the Square field, please create a Square feed for this form.
