Madrid, Spain & Lisbon, Portugal Registration october 8-14, 2018 1451 s. olive avenue, west palm beach, fl 33401 / www.norton.org
recommended arrival in madrid, spain: sunday, october 7 recommended departure from lisbon, portugal: monday, october 15 RSVP and hotel payment due by May 15, 2018 Trip payment due by July 15, 2018 rsvp or questions contact: Leslie Francisco Development Officer for Stewardship (561) 832-2659 nortoncircle@norton.org please remit this form, payments, and a color copy of your passport to: Norton Museum of Art Attn: Leslie Francisco 1451 S. Olive Avenue West Palm Beach, FL 33401 madrid and portugal registration
traveler 1 Please return this form with a color copy of your passport. passenger information full name as listed on your passport address city state zip home phone mobile phone email flight information arrival date in madrid arrival time airline flight # departure date from lisbon departure time airline flight # dietary restrictions madrid and portugal form 1 of 8
traveler 2 Please return this form with a color copy of your passport. passenger information full name as listed on your passport address city state zip home phone mobile phone email flight information arrival date in madrid arrival time airline flight # departure date from lisbon departure time airline flight # dietary restrictions madrid and portugal form 2 of 8
accommodations Hotel accommodations will be arranged on your behalf. Please do not contact the hotels directly. Daily breakfast included in all hotel rates. madrid, spain: the westin palace www.westinpalacemadrid.com/en Date of Check-In: Sunday, October 7, 2018 (4-night stay in Madrid) Other Room Selection: Premium View Room: $688 Size: 312 sq. ft. Beds: King bed, room sleeps 3 guests View: Neptune Fountain and renowned Prado Museum Junior Suite: $1,440 Size: 645 sq. ft. Beds: King bed, room sleeps 4 guests View: Neptune Fountain and renowned Prado Museum Features: Independent bedroom and living room Hotel accommodations: One large bed Single occupancy Two beds Double occupancy madrid and portugal form 3 of 8
lisbon, portugal: four seasons hotel ritz lisbon www.fourseasons.com/lisbon Date of Check-Out: Monday, October 15, 2018 (4-night stay in Lisbon) Other Room Selection: Superior Room: $819 Size: 452 sq. ft. Beds: King bed, room sleeps 3 guests View: Courtyard entrance with city view Premier Room: $962 Size: 527 sq. ft. Beds: King bed, room sleeps 3 guests View: Old Town, Eduardo VII Park, and Hotel gardens Features: Private terrace, outdoor seating, and a living room with a working desk Hotel accommodations: One large bed Single occupancy Two beds Double occupancy madrid and portugal form 4 of 8
payment information Payments can be made by check or credit card. Please note that travel payments are nonrefundable and are not tax-deductible. You may return these forms via email or regular mail. If you choose to submit the form electronically, please do not include credit card information. Leslie Francisco will take credit card reservations by phone. He can be reached at (561) 832-2659. hotel payment is separate from trip payment and is due by may 15, 2018 Please calculate below: $ Madrid, Spain hotel cost (Form 3) + $ Lisbon, Portugal hotel cost (Form 4) = $ Total Hotel Payment $8,540 per person trip payment is due by july 15, 2018 My check is enclosed. (Payable to the Norton Museum of Art) or Please charge $ to my: American Express Visa Master Card Discover card # exp.date security code zip name on card madrid and portugal form 5 of 8
t e r m s & c o n d i t i o n s reservations To reserve space on the tour, the attached reservation form must be received by the Norton Museum of Art (hereafter referred to as The Norton) accompanied by all deposits (all payments may be made by either credit card or check). payments/cancellations All payments are non-refundable, and all cancellations must be in writing. included A private guide for the duration of the program, private motor coach, admission to all points of interest, six luncheons and six dinners, all gratuities (drivers, restaurants, guides), professional assistance throughout the program. not included International air fare; passport fees; items of a personal nature, such as laundry, phone/fax communications; items not on the regular menus; expenses of hotels, meals, guides, buses, cars, railroad, boats, etc., for sightseeing not included in the itinerary; insurance of any kind; any other items not specifically included. changes to our program We will make every effort to operate this program as described, but circumstances beyond our control may arise that require modifications of the itinerary, hotel substitution, changes in transportation, and inclusions. trip insurance Cancellation/baggage/medical insurance is strongly recommended. travel documents Signed passport, valid for six (6) months after the date of your departure from overseas. madrid and portugal form 6 of 8
responsibility The Norton and their agents reserve the right to decline to accept or retain any person as a member of the tour any time before departure or during the tour. acts of god and the like The Norton is not liable for acts of nature, fire, acts of governments or other authorities, wars, civil disturbances, riots, terrorist acts, strikes, thefts, pilferage, epidemics, quarantines, dangers incident to sea, land and air travel, and other similar acts or incidents beyond its ability to control. traveler s representations Acceptance of the confirmation/invoice covering this tour and payment thereof certifies that you have not recently been treated for, nor are you aware of any physical or other condition or disability that would create a hazard to yourself or other members of this tour, and is also an acceptance of the tour conditions applicable to the tour and that you have read and understand those conditions. madrid and portugal form 7 of 8
release of liability and assumption of risk By signing this document you waive your right to bring legal action or recover compensation or obtain any other remedy for any injury to you or your property or for your death from the Norton Museum of Art due to events that may occur while you are on this trip. In consideration for my participation in this trip, I agree to the following: I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, waive and release any and all claims that I may have against the Norton Museum of Art, its directors, officers, staff, employees, volunteers, agents and representatives arising out of this trip (including any damages, injuries or my death caused in whole or in part by the negligent acts of the persons named above or others), and further covenant and agree not to sue or to bring any claim of any nature whatsoever against the Norton Museum of Art or any of the persons named, or unnamed, above who may be acting on behalf of the Norton Museum of Art. I knowingly and freely assume all risks, both known and unknown, even if arising from the negligence of the parties named above or others, and assume full responsibility for damages and injuries, including death, from events that may occur while I am on this trip. No oral statements or representations have been made to me apart from the matters in this document. traveler 1 I have read the terms and conditions and this release of liability and assumption of risk and fully understand its terms. I understand that I give up substantial rights by signing it, and I sign it freely and voluntarily without any inducement. signature (required) date traveler 2 I have read the terms and conditions and this release of liability and assumption of risk and fully understand its terms. I understand that I give up substantial rights by signing it, and I sign it freely and voluntarily without any inducement. signature (required) date madrid and portugal form 8 of 8