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GLOW & EXPLORE
ONLINE PAYMENT
REGISTRATION FORM

Glow & Explore is delighted to offer the following custom itinerary based on your selections. While this form is available for 24 hours, pricing is subject to change at any time prior to receipt, acceptance, processing, and conformation of your registration. Changes in price greater from $100 will be communicated via email and require your approval to proceed.

ENTER YOUR NAME EXACTLY AS IT APPEARS ON YOUR GOVERNMENT PHOTO ID

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A CURRENT PASSPORT VALID THROUGH JUNE 11, 2022 IS REQUIRED FOR THIS GLOW & EXPLORE ESCAPE. GUESTS WHO DO NOT PROVIDE THEIR PASSPORT AT TIME OF REGISTRATION MUST DO SO NOT LATER THAN AUGUST 2, 2021. GUESTS WHO HAVE NOT UPLOADED THEIR PASSPORTS TO BY AUGUST 2, 2021 RISK HAVING THEIR REGISTRATIONS CANCELED AND NO REFUND WILL BE DUE FOR FAILURE TO PROVIDE A VALID PASSPORT.

I agree to the terms & conditions

I understand that in the event my roomate cancels, I will upgrade to the next lowest available occupancy.

Room Category

Choice 1

Choice 2

Choice 3

Quote Summary

Place your order now for only $15!

First Name

Last Name

Email

Address

Phone Number

Comments

Thanks for your order!

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