Make an Individual Registration

* Denotes a required field

	Tour Information
* Area of Interest:
Date of Reservation:
Tour Number:
Tour Name:
Tour Date:	MM/DD/YYYY
	Contact Information
* Name:
* Address:
* City:
* State:	(e.g. CA)
* Zip Code:
E-mail address:	We will send you a confirmation.
* Phone:
Birthdate:	MM/DD/YYYY
Cancelation Protection?	Yes No
Literature:	Would you like to receive literature on Individual Tours? Yes No
Payment:	Please select how you will be paying for the tour. We accept Mastercard and Visa Check Credit Card
Type of Room:
	Information For Rooming Partner 1
Room Type:
Rooming Partner's Name:
Address:
City:
State:
Zip:
E-mail address:
Phone:
Birthdate:	MM/DD/YYYY
Cancelation Protection?	Yes No
	Information For Rooming Partner 2
Room Type:
Rooming Partner's Name:
Address:
City:
State:
Zip:
E-mail address:
Phone:
Birthdate:	MM/DD/YYYY
Cancelation Protection?	Yes No
	Pick Up Information
Pick Up Location:
Seating Preference:
	Vehicle Information (Biggs Harrison and Florence)
Car Make:
Model:
License Number:
Year:
Comments:
	View Privacy Policy (will open new window) A $100.00 deposit per person is required to hold your reservations. Please send check or credit card information to: Croswell VIP Motorcoach Services 975 West Main Street Williamsburg, Ohio 45176