Licensed Travel to Cuba!
Cuba Cultural Contrast

INITIAL REGISTRATION FORM

An initial registration from each participant is required. Additional required documents will be sent electronically to each participant. You may return those documents electronically or by mail. All itinerary items including hotel selection are subject to change based on availability in Cuba. Many itineraries are subject to last minute changes based on availability.

Name (Exactly as it appears on your passport)
First Name *
Middle Name (if none, leave blank)
Last Name *
Address
Street Address *
City *
Zip/Postal Code *
State/Providence *
Country *
Additional Information
Mobile Phone *
Email *
Date of Birth *
Mother's Maiden Name *
Country of Residence *
Gender *
Place of Birth (city, state and country) *
Were you born in Cuba? *
Additional comments / Promotion codes
Passport Information
Citizenship *
If USA Resident , Green Card number:
Passport country: *
Passport number: *
Passport expiration date: *
 
 

Please e-mail a scan of your passport to: registration@culturalcontrast.org
If non-US Citizen – Please e-mail a scan of the front and back of your current passport along with a copy of your US resident alien card or your US visa to: registration@culturalcontrast.org

Traveling Preferences
Room Type
Payment Type
Total Price
Trip Summary
Trip Explore Cuba – Culture, History & Yoga
Dates of travel From 11/09/2017 to 11/14/2017

Your passport must not expire before 05/13/2018
Note: if you need your passport renewed, please call Cultural Contrast as we provide expedited passport renewal service.

Initial registration deadline date 09/05/2017
US Treasury category of trip
Trip cost (single) $3,050 *
Trip cost (double) $2,550 *
Deposit $500
* If paying full amount, a 5% convenience fee applies to all payments and will automatically be added to your payment
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This trip is first-come, first-reserved and our experience tells us that the trip WILL SELL OUT QUICKLY.


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