ALASKA WELCOMES YOU!, INC.,
ACCESSIBLE ALASKA ADVENTURES ®PO BOX 91333, ANCHORAGE AK 99509-1333
PHONE/TTY: 1-800-349-6301
USA Only. 1-907-349-6301
In Anchorage: 349-6301FAX: 1-907-344-3259
EMAIL: akwy@customcpu.com
WEB: www.accessiblealaska.co
INDEPENDENT TRIP PLANNING QUESTIONNAIRE SELF-GUIDED TOURS / INDEPENDENT TRIP PLANNING SERVICES. AWY - Accessible Alaska Adventures designs and customizes itineraries, based upon guest’s input.
- The customized itinerary may offer a variety of Alaskan experiences:
bear viewing – hiking – fishing - flight seeing – cruises - Alaskan land tours-train trips
RV rentals -auto rentals - river rafting - wildlife observation - marine life viewing glacier viewing - guided soft-adventure tours - and more.
- AWY’s customized itineraries are designed for the special needs of guests.
fast walkers - slow walkers - seniors - families - singles - travelers with disabilities
to enjoy their experience at their own pace . . to meet nature up close.
AWY has researched Alaska for accessibility from Ketchikan to Barrow, Homer to the Pribilof Islands, Valdez to Fairbanks, Anchorage to Dawson City, YT. Southeastern - Inside Passage. National Parks, such as Denali, Katmai, and Wrangell. State parks, such as Chugach, Denali, and other state recreational sites. The Alaska Highway: Seattle to Fairbanks via Dawson Creek, BC, Canada and Delta Junction AK. Alaska Ferry System. All of Alaska’s accessible road systems, including the Top of the World Highway. This list does not begin to cover the areas AWY has surveyed, and continues to survey, in Alaska and western Canada.
AWY’S TRIP PLANNING SERVICES:
CHANGES / CANCELLATION FEES: While AWY recognizes that changes or cancellations may be made in an itinerary, there are circumstances when such changes / cancellations will require additional administrative fees.
- All Independent travel services require a prepaid, non refundable administrative fee per party. Party = 1 to 10 people.
- If you are considering independent travel, AWY will design, according to your input, an accessible Alaska itinerary. Our services allow ravelers more time to relax and enjoy the scenery as it unfolds around them .. you will not have to scout out the surroundings.
- We offer two [2] types of trip planning services, with limited free phone consultation, including faxes, from US phone numbers only: DELUXE Alaska trip planning service - $150.00 administration fee, non-refundable.
AWY makes the necessary arrangements based upon your input - provide maps-state and local strip maps - provide a printed narrative of the areas listed in your customized itinerary - provide accessible narrative of activities, accommodations, natural heritage/history of area, and much more. Vouchers will be sent to your address via Express Mail. This Deluxe service also allows you, once in Alaska, to call upon us for assistance in making further arrangements for activities at no additional trip-planning fee. NO FRILLS Alaska trip planning services - $50.00 administration fee, non-refundable.
AWY books guest’s accommodations and activity arrangements. There are no narratives, maps, or other amenities provided with this service. The operator will mail vouchers to guest's address. AWY will mail guest a basic itinerary via regular mail.
- CHANGES: AWY's administration fee is $10.00/per person, per change, depending upon the activity, when a change to itinerary is made 0 to 30 days prior to the start of the activity. This includes accommodations, sightseeing, transportation, and other itinerary activities.
- Please note, that AWY's change fee is in addition to any change fee that may be charged by the vendor/operator.
- CANCELLATIONS: AWY’s administration fee is $10.00/per person, when the cancellation is made 0 to 30 days prior to the start of the itinerary activity.
- Please note, that AWY's fees are in addition to any cancellation fees that may be charged by the vendor/operator.
INDEPENDENT FISHING PACKAGES. $75.00/USD administrative fee. AWY can arrange a variety of fishing packages, one day and longer. There are many fishing areas that are within 30 minutes to 6 hours drive from Anchorage. Plus there is a large selection of fly-in fishing opportunities.
- Independent fishing price - varies according to fishing charter.
- AWY’s independent fishing packages are wheelchair usable under certain conditions. Usable = guest’s upper body strength, and transfer capabilities.
PLEASE COMPLETE THE FOLLOWING FORM.ALL AREAS THAT INDICATE A RESPONSE ARE TO BE COMPLETED AND RETURNED TO ALASKA WELCOMES YOU!, INC.
PO Box 91333, ANCHORAGE AK 99509-1333.
FAX: 907-344-3259.
THANK YOU.
INDEPENDENT TRIP PLANNING QUESTIONNAIRE
Today’s Date:___________________________________
1. GUESTS/ DATA:Names: Last / First / Initial:
1. _______________________________________
Sex__ DOB: __/__/__
Senior - Yes[ ] No [ ]
Child - Yes[ ] No [ ]
If a child, please indicate age: [ ]2. _______________________________________
Sex__ DOB: __/__/__Senior - Yes[ ] No [ ]
Child - Yes[ ] No [ ]
If a child, please indicate age: [ ]3. _______________________________________
Sex__ DOB: __/__/__Senior - Yes[ ] No [ ]
Child - Yes[ ] No [ ]
If a child, please indicate age: [ ]4. _______________________________________
Sex__ DOB: __/__/__Senior - Yes[ ] No [ ]
Child - Yes[ ] No [ ]
If a child, please indicate age: [ ]5. Please use a separate piece of paper for additional members, thank you.
Address: ________________________________________________City :_________________ State/Prov.:____ Country:________
Phone/TTY: (_________________) Fax:(______________)
Email: ___________________________
Emergency Contact: _______________________________________
Address: ________________________________________________
City :_________________ State/Prov.:____ Country:________
Phone/TTY: (_________________) Fax:(______________)
Email: ___________________________
GUEST PROFILE:Number of people in party/Adults:
Children:Number of rooms required
Number of beds required, per room:Size of beds: King Queen Double Twin [please circle]
Is a crib required: __ Yes __ No
Bathroom preferences:
Tub/Shower Roll-in Shower [please circle]
Grab bars required: __ Yes __ No
Tub/Shower chair required: __ Yes __ No
Private bathroom: __ Yes __ No
Share bathroom: __ Yes __ No
Is there a traveler with a disability in this party: __ Yes __ No
If yes, please briefly describe disability:
_____________________________________________
_____________________________________________
_____________________________________________
Transfer: Will transfer: __ Yes __ No
Needs assistance: __ Yes __ No
Traveling alone: __ Yes __ No
Traveling w/service dog: __ Yes __ No
Needs wheelchair lift: __ Yes __ No
Needs ramp: __ Yes __ No
Needs bed shaker: __ Yes __ No
Needs TTY: __ Yes __ No
Needs close-captioned TV: __ Yes __ No
Needs large print reading material: __ Yes __ No
Needs personal attendant: __ Yes __ No
[AWY does not provide this service.]
Hoyer Lift, or similar lift: __ Yes __ No
Will be party be transporting a Hoyer or similar lift: __ Yes __ NoIf a member of the party travels with a wheelchair or a scooter,
please complete the following:Wheelchair: __ Yes __ No Manual: __ Yes __ No
Electric: __ Yes __ No Collapsible: __ Yes __ No
Tires: Inflatable: __ Yes __ No Wide tires: __ Yes __ No
Dimensions: width: ___ height: ___ length: ___ weight: ___
Battery: wet cell: __ Yes __ No gel-filled __ Yes __ NoScooter dimensions:
width: ___ height: ___ length: ___ weight: ___
Battery:: __ Yes __ No
wet cell:: __ Yes __ No gel-filled : __ Yes __ No
3-wheeler:: __ Yes __ No 4-wheeler:: __ Yes __ NoDoes any member of the party have impaired mobility: __ Yes __ No
Walking: __ Yes __ No Limited walking: __ Yes __ No
Stairs: __ Yes __ No Limited stairs: __ Yes __ No
Standing: __ Yes __ No Limited standing __ Yes __ No
Walker: __ Yes __ No Cane: __ Yes __ No
Crutches: __ Yes __ No Leg Braces: __ Yes __ No
Other/please briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________Upper body strength, briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________Oral/Hearing/Visual Communication:
Speech disability: __ Yes __ No
If yes, please briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________Hearing disability: __ Yes __ No
If yes, please briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________Does guest communicate with a TTY/Relay Telephone #: __ Yes __ No
Does guest use other communication devices: __ Yes __ No
If yes, please briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________Sign Language: __ Yes __ No
If yes, what Sign Language: _______________________
[AWY is not proficient in signingLip reading: __ Yes __ No
Service dog: __ Yes __ NoVision disability: __ Yes __ No
If yes, please briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________Are tapes required: __ Yes __ No
Is large print required: __ Yes __ No
Is Braille required: __ Yes __ No
[AWY documents are not printed in Braille.]
OTHER CONSIDERATIONS: Does guest require assistance with boarding an airplane: __ Yes __ No
Approximate passenger weight:_________
[Alaska flight seeing operators need to know weight of passengers.]
Requires airline’s wheelchair for boarding: __ Yes __ No
Requires oxygen: __ Yes __ No
Travels with oxygen: __ Yes __ No
Requires dialysis treatment while on tour: __ Yes __ No
[Guest must make local Alaska arrangements months in advance.]
MEDICAL/HEALTH CONCERNS: Is guest on prescribed medications: __ Yes __ No
Is there a schedule for body functions: __ Yes __ No
If yes, please briefly describe day of week, and time:
_____________________________________________
_____________________________________________
_____________________________________________Special dietary needs:: __ Yes __ No
If yes, please briefly describe:
_____________________________________________
_____________________________________________
_____________________________________________
RESTAURANTS/PUBLIC DINING: Indicate if there are special considerations; i.e., seating arrangements, diet:
III ANCHORAGE ARRIVAL/DEPARTURE INFORMATIONArrival Date:______________ Arrival Time:________________
Airline:__________________ Flight No.:___________________
Origin City:__________________________ State:___________
Departure Date:___________ Departure Time:_____________
Airline:__________________ Flight No.:___________________
Destination City:___________ State:______________________
IVANCHORAGE CRUISE SHIP ARRIVAL/DEPARTURE INFORMATION Arrival Date: __________Cruise Line/Ship:________________
Port of Seward arrival: __ Yes __ No
Port of Anchorage arrival: __ Yes __ No
Port of Whittier arrival: __ Yes __ No
Anchorage transfer site: Hotel __ Yes __ No
Egan Center: __ Yes __ NoDeparture Date: __________Cruise Line/Ship:__________
Port of Seward departure __ Yes __ No
Port of Anchorage departure __ Yes __ No
Port of Whittier departure __ Yes __ No
Anchorage transfer site: Hotel __ Yes __ No
Egan Center: __ Yes __ No
VGUARANTEED RESERVATIONS Alaskan operators - hotels, fishing charters, flightseeing,
and others require deposits, when making reservations.
Reservations will not be guaranteed without a deposit payment
or a credit card guarantee.
VI PAYMENT: Payment of AWY’s Trip Planning Services
administrative fee may be made by personal check or credit
card. AWY accepts Discover, VISA, and MasterCard.
INDEPENDENT TRIP PLANNING SERVICES GENERAL TERMS & CONDITIONS
ACCESSIBILITY: To provide our guests with a "hands-on" Alaskan getaway, AWY researched for accessibility and usability, using AWY's copyrighted "Accessible/Usable Survey Form" and doing on-site inspections. NOTE: In Alaska, few of the public accommodations, public rest rooms, dining establishments, etc., meet the Americans with Disability Act [ADA] standards in Alaska. AWY has rated the businesses in its Getaways as accessible and/or usable as a result of our research. This means that doorways in hotels and rest rooms are sufficient to accommodate an average-sized wheelchair, and that mobility impaired travelers should be able to negotiate their wheelchair or scooter in specially selected hotels, hotel rooms, inns, lodges, and bed & breakfasts. There are no special adaptations or aids provided in any accommodations or rest rooms. Hearing impaired travelers are advised if strobe lights, close-captioned TV, shaker kits, and TTYs are available. Visually impaired travelers are advised if bell alarms and Braille are available.
LEVEL OF DIFFICULTY: While certain programs require little physical effort, others can be more demanding. Alaska travel can be more rigorous and more difficult than traveling in other locations. It is essential that persons accompanying travelers with disabilities be fully confident that they can cope with all aspects of their responsibilities for the duration of the Getaway. Alaska Welcomes You!, Inc. [AWY] will accept disabled travelers on their own only if they are self-sufficient in every way.Each Getaway has been carefully researched and is specially designed for travelers with disabilities.
SMOKING: Accommodations will be non-smoking unless guest specifies smoking.
BED & BREAKFAST, AND OTHER LODGING HOSTS: AWY recommends B&Bs as they represent a good opportunity to interface with Alaskans, and many have upgraded to become accessible.
- B&Bs: Payment the first night’s lodging is payable in advance to AWY by personal check. For additional nights, the balance will be paid to the B&B host/hostess.
- Credit Card Payments to B&Bs: For those operators that do not accept credit cards, should guest elect pay by credit card, the balance due will be processed in advanced by AWY and a $5.00/USD service fee will be applied.
- ADVANCE PAYMENT: Some hosts require full payment in advance, and Guest will beso advised by AWY.
- B&B and OTHER LODGINGS CANCELLATION POLICY Each B&B and Lodge has its own cancellation policy and Guest will be advised of the policy of and any B&B or Other Lodging prior to making the booking.Additionally, a written statement will be sent with the applicable voucher. Customized itineraries will also contain the policy of each host.
- PRICE RANGE [averages, without tax included] PER NIGHT: BUDGET $55 TO $85.MODERATE: $80 to $159.EXPENSIVE: $150 to $300.
- AWY accepts no responsibility for actions of Bed & Breakfast operators
PRIVATE CAMPGROUNDS: Per night ranges from $20 TO $75. Additionally, the US Forest Service has a per site reservation fee. AWY accepts no responsibility for actions of campground operators
HOTELS/MOTELS/INNS/LODGES
- Room Guarantee: Whenever AWY books accommodations for Guests in hotels, and other similar lodging, AWY will furnish Guest’s credit card information directly to the operator to guarantee Guest’s accommodations.
- Operator’s deposit and cancellation policies will apply. Guest will be advised of operator’s deposit, final payment, and cancellation policy prior to making the booking.
- Additionally a written statement will be sent with the applicable voucher.Customized itineraries will also contain the policies of each host.
- Many hotels/motels/inns/lodges require full payment in advance.This is especially true for accommodations in the Denali National Park area.
- HOTEL PRICE RANGE: [averages, without taxes included] PER NIGHT: SUMMER > BUDGET: $55 [Hostel] to $150. MODERATE: $100 TO $198. EXPENSIVE: $189 to $300. LUXURY: $300+. CHILD’S RATES: Child’s rates are normally based upon children 16 years and younger sharing accommodations with two adult family members. Depending upon the operator, rates can run from $15 and up, per child, or children may be free. AWY accepts no responsibility for actions of HOTELS/MOTELS/INNS/LODGES operators.
TRANSPORTATION: Travel in the Last Frontier may require automobile, boat, bus, RVs, ferry, train, helicopter, and air taxi services, and each operator will have their own penalty and payment schedules.
- PAYMENT IN FULL: Before tickets are issued for glacier day cruises, river boats s, fishing charters, ferry service, train rides, helicopter, air taxi services, and others, payment in full for all passengers will be required.
- RV and VAN RENTALS: Many RV and van rentals require deposits for one day, plus security and/or damage deposits. Additionally, some operators require full payment in advance.
- DEPOSITS: Deposits are usually required when booking a reservation . no matter when Guest will be traveling.
- FERRY RESERVATIONS: Older ferries are not accessible.
- ALASKA RAIL ROAD: Payment is due when making reservations. Not all train cars, including dome cars, are accessible.
- AWY accepts no responsibility for the actions of glacier day cruises, river boats s, fishing charters, ferry service, train rides, helicopter, air taxi servicesand/or other operators.
VEHICLE RESERVATIONS:
- HAND CONTROLS: Guests who require hand controls must advise AWY immediately if Left or Right hand controls are required. Most small companies do not supply hand controls at this time.
- LIFT- or RAMP-accessed vehicles: As of 06/01/2001 there are no rental vehicles in Alaska that have either a lift or ramp access.
- AIR TAXIS - including float planes: These are not easily accessed from a wheelchair or a scooter.
- AWY accepts no responsibility for the actions of vehicle rental operators or for airplane operators.
- DENALI NATIONAL PARK & PRESERVE: There is a $10 [$6 PARK/$4AWY] nonrefundable booking fee, per party per reservation, when making National Park Shuttle Bus reservations. AWY accepts no responsibility for the actions of Denali NPP personnel and /or for the DNPP concessionaire operator.
CANCELLATION POLICY: Each operator will have its own cancellation policy, and guest will be advised by AWY of the policy when making reservations. Additionally, this information will be included in customized itineraries.
CREDIT CARDS: Most operators accept VISA, MasterCard, and Discover.In those cases when an operator does not accept credit cards,AWY will process your credit card, VISA, MasterCard or Discover, and pay the operator. The administrative fee for this service ranges from $10.00/USD to 10 percent of the total, and guest will be advised in advance of the fee.
BAGGAGE: Lodges, cabins, fishing charters, flight services, and various other Alaskan operators may restrict guests to one piece of luggage.AWY is not responsible for the limits of baggage imposed by the operator.Additionally, AWY is not responsible for mishandling of baggage; nor is AWY responsible for lost baggage.
BUG REPELLANT: In addition to Alaska's mosquitoes, there are deer flies, White Socks [a nasty small bug whose bites are worse than a mosquito], and "No-see-ems" that can also make one feel miserable. It is the guest's responsibility to provide their own bug repellent.
CAMERAS: Binoculars and cameras are a must. A tripod would be a definite plus.There are tripods that can be mounted on most wheelchairs. AWY is not responsible for lost cameras or lost binoculars, carrying cases, and any associated equipment.
SCENIC VIEWING: Scenic viewing is according to season and weather permitting and is not guaranteed.
TESTIMONIALS: Alaska Welcomes You!, Inc. is granted permission to use testimonials received from guests for promotional purposes, such as brochures, newsletters, etc., unless objection is stated in writing.
WILDLIFE OBSERVATION: Specific wildlife species viewing is according to season and is not guaranteed.
RESPONSIBILITY: ALASKA WELCOMES YOU!, INC., and/or their Agents act only as agents for the GUESTin regards to travel including, but not limited to, sightseeing, meals, lodging, guided hikes, wildlife viewing, marine life viewing, glacier observation, transportation, and all other services whether by rail road, motorcar, motorcoach, boat, raft, kayak, marine vessel, ferry, fishing charter, wagon, dog sled,helicopter, or airplane and assume no liability for injury, damage, loss, accident, delay or irregularity which may be occasioned either by reason of defect in any vehicle or forany reason whatsoever, or through the acts or default of any company or person engaged in conveying the passenger or in carrying out the arrangements of the tour. BAGGAGE is at Guest's risk entirely. The issuance and acceptance of voucher or ticket shall be deemed to be consent to the above conditions.
I have read and do accept the terms and conditions of Alaska Welcomes You!, Inc.’s Guest Profile / Terms & Conditions.SIGNATURE: _________________________________DATE:___________________
Please print name:___________________________________________
ACTIVITIES: PART IPLEASE INDICATE IF YOU WANT TO PARTICIPATE IN THE FOLLOWING ACTIVITIES.
FISHING Yes [ ] No [ ] RIVER Yes [ ] No [ ] OCEAN [SEWARD OR HOMER] Yes [ ] No [ ] HALIBUT FISHING - OCEAN Yes [ ] No [ ] SALMON - RIVER Yes [ ] No [ ] SALMON - DEEP WATER/OCEAN Yes [ ] No [ ] REMOTE, FLY-IN, SITE Yes [ ] No [ ]
WILDLIFE VIEWING Yes [ ] No [ ] ALASKA ZOO [ANCHORAGE] Yes [ ] No [ ] GAME PARK [PORTAGE] Yes [ ] No [ ] REINDEER FARM [PALMER] Yes [ ] No [ ] MUSK OXEN FARM [PALMER] Yes [ ] No [ ] DENALI [MC KINLEY] Yes [ ] No [ ] ALASKA SEALIFE CENTER [SEWARD] Yes [ ] No [ ]
BEAR VIEWING Yes [ ] No [ ] KATMAI NATIONAL PARK Yes [ ] No [ ] MCKENZIE REFUGE Yes [ ] No [ ] KODIAK Yes [ ] No [ ] DENALI [MC KINLEY] Yes [ ] No [ ] OTHER BEAR VIEWING AREA Yes [ ] No [ ] IF YES, PLEASE IDENTIFY:_______________________________
MARINE LIFE VIEWING Yes [ ] No [ ] WHALES Yes [ ] No [ ] SEA LIONS, OTTERS, SEALS Yes [ ] No [ ] SEA BIRDS Yes [ ] No [ ] ALASKA SEA LIFE CENTER [SEWARD] Yes [ ] No [ ] OTHER MARINE LIFE VIEWING AREA Yes [ ] No [ ] IF YES, PLEASE IDENTIFY:_______________________________
BIRD VIEWING Yes [ ] No [ ] LAND Yes [ ] No [ ] MARINE Yes [ ] No [ ] OTHER BIRD VIEWING AREA Yes [ ] No [ ] IF YES, PLEASE IDENTIFY:_______________________________
GLACIER VIEWING Yes [ ] No [ ] PORTAGE GLACIER Yes [ ] No [ ] EXIT GLACIER [SEWARD] Yes [ ] No [ ] RESURRECTION BAY [SEWARD] Yes [ ] No [ ] KENAI FJORDS NAT’L PARK CRUISE [SEWARD] Yes [ ] No [ ] COLLEGE FJORDS CRUISE [WHITTIER] Yes [ ] No [ ] COLUMBIA GLACIER [VALDEZ] Yes [ ] No [ ] MATANUSKA GLACIER [MAT-SU] Yes [ ] No [ ] KNIK GLACIER-FLY-IN Yes [ ] No [ ] MENDENHALL GLACIER - JUNEAU Yes [ ] No [ ] SOUTH EASTERN ALASKA Yes [ ] No [ ] IF YES, PLEASE IDENTIFY:_______________________________
ACTIVITIES: PART IIPLEASE INDICATE IF YOU WANT TO PARTICIPATE IN THE FOLLOWING ACTIVITIES
FLIGHTSEEING Yes [ ] No [ ] COOK INLET [ANCHORAGE] Yes [ ] No [ ] PRINCE WILLIAM SOUND Yes [ ] No [ ] HARDING ICE FIELD [KENAI] Yes [ ] No [ ] KATMAI [ANCHORAGE OR HOMER] Yes [ ] No [ ] DENALI/MT. MCKINLEY Yes [ ] No [ ] OTHER AREAS Yes [ ] No [ ]
BOATING Yes [ ] No [ ] KENAI RIVER RAFTING Yes [ ] No [ ] TALKEETNA RIVER RAFTING Yes [ ] No [ ] OTHER RAFTING AREA Yes [ ] No [ ] IF YES, PLEASE IDENTIFY:_______________________________
KAYAKING Yes [ ] No [ ] IF YES, PLEASE IDENTIFY AREA: _______________________________
WILDLIFE TOURS Yes [ ] No [ ] IF YES, PLEASE IDENTIFY AREA: _______________________________
RIVERBOAT DISCOVERY [FAIRBANKS] Yes [ ] No [ ] DANCING VIEWING Yes [ ] No [ ] NATIVE ARTIFACTS - VIEWING Yes [ ] No [ ] MUSEUMS Yes [ ] No [ ] ART GALLERIES Yes [ ] No [ ] SHOPPING Yes [ ] No [ ] NATURE WALKS Yes [ ] No [ ] TWO OR MORE DAYS IN LENGTH Yes [ ] No [ ] IF YES, PLEASE IDENTIFY AREA: _______________________________
ARCTIC ADVENTURES:INDEPENDENT DAY TRIPS
BARROW Yes [ ] No [ ] NOME Yes [ ] No [ ] KOTZEBUE Yes [ ] No [ ] PRIBILOF ISLANDS - MIN. 2 DAYS Yes [ ] No [ ] KATMAI NATIONAL PARK - MIN. 2 DAYS Yes [ ] No [ ] GLACIER BAY NATIONAL PARK [JUNEAU] - MIN. 2 DAYS Yes [ ] No [ ] OTHER, PLEASE LIST ALASKA AREA: Yes [ ] No [ ] IF YES, PLEASE IDENTIFY AREA: _______________________________
Your response to this questionnaire will assist in planning your Alaska activities. ALASKA WELCOMES YOU!, INC.
RESERVATION FORM
I wish to book one of the following:
Alaska Cruise:________ Cruise Line:____________________________Ship: _______________________ Sailing Date:________________________
Independent Trip Planning Service:a. DELUXE Alaska trip planning service - $150.00 admin. Fee / per party
b. NO FRILLS Alaska trip planning services - $50.00 admin. Fee /per party
Trip departure date: There will be guests in my party.Amount being paid with this form: $ per person.
Payment is made by: Credit Card DISCOVER VISA MASTERCARD
Certified Cashier's Check Cash Travelers Checks___ Personal Check ___
CREDIT CARD INFORMATION:CARDHOLDER NAME:________________________________________________________
Address:______________________________________________________________________
City/State/Zip:_________________________________________________________________
Phone/day:{ } Evening:{ } Fax:{ }
Email:_________________________________________________________________________
NOTE: IF CREDIT CARDHOLDER IS OTHER THAN THE PARTY USING THE ITINERARY, PLEASE INDICATE RELATIONSHIP TO CARDHOLDER: _______________________________________________
SIGNATURE OF CARDHOLDER:_____________________________________________________________
NOTE: A completed ‘GUEST PROFILE / TERMS & CONDITIONS’ form must be returned to AWY, along with this reservation form. Additionally, if payment is by credit card a completed ‘CARDHOLDER SIGNATURE VERIFICATION FORM’ and a completed ‘GUEST PROFILE / TERMS & CONDITIONS’ form must be returned to AWY along with the reservation form. If the required forms are not received by AWY the booking will be considered unmade.
ALASKA WELCOMES YOU!, INC.® CARDHOLDER SIGNATURE VERIFICATION FORM
Date credit card was called in Booking Number:______________Guest Name: Called in by guest: Yes [ ] No []
AWY Agent: ________________________________________________
Cardholder Name:__________________________________________________
[as it appears on credit card]Cardholder Address:_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Credit Card Number: Exp. Date:________________
DISCOVER VISA MASTERCARD Total Charge Amount: $_________________
Charge Amount breakdown:Guest Name # in party Tour Description Amount
__________ ______________________ ________
__________ ______________________ ________
__________ ______________________ ________
__________ ______________________ ________
__________ ______________________ ________
__________ ______________________ ________
__________ ______________________ ________
__________ ______________________ ________
The information above verifies the credit card order previously called into Alaska Welcomes You. Your signature indicates your acceptance of the above charge amount to your credit card and your understanding and acceptance of the cancellation policies outlined in the terms and conditions as listed in the ‘GUEST PROFILE / TERMS & CONDITIONS' form, and those listed below, which apply to this booking.
Cardholder signature:_______________________________________________________________
Please return this form via fax to 1-907-344-3259 and/or US mail. Please call AWY at 800-349-6301 when the forms are mailed.Forms lost in the mail are not the responsibility of AWY, and if the SIGNED and COMPLETED form is not received within 7 calendar days [or within 24 hours for late bookings], the booking will be considered ‘unmade.’