Beluga Whale Adventure Day Tour
Heartland International Travel & Tours
202 - 3111 Portage Avenue
Winnipeg, Manitoba, Canada R3K 0W4
Tour Date: Saturday July 25, 2009
Please complete and fax or mail this form to us.
Guest's Name(s): ____________________________________________________________________
Street Address: ________________________________________________________________
City: _______________________ State/Prov.: _____________ Zip/Postal Code: _________________
Phone Number: _____________________________ Cell/Bus Number: ___________________________
E-Mail Address: ______________________________________________________________________
Note: If you require flight arrangements to Winnipeg, and overnight hotel bookings prior to and after the tour, we would be pleased to assist. We have special stopover rates at the Winnipeg airport hotels.
Do you wish us to book hotel rooms for you? Yes __ No __ Check in: ________ Check out: _________
Do you wish us to provide you with flight options? Yes __ No __ Dep. Date: ________ Ret. Date: _______
Please note any food allergies or dietary concerns: ____________________________________________
A non-refundable $250.00 CAD deposit per person is due at the time of booking.
Final payment is due on/by May 1, 2009.
All participants must sign a waiver form then fax or mail it in.
Please charge my payments to: (Please circle) MasterCard Visa
Account Number: _________________________________________________Expiry Date _ /
Signature __________________________________________________________________
Insurance:
We strongly urge participants to purchase Travel Insurance. Neither Heartland International Travel & Tours nor their agents or contractors will be held responsible for missed connections, incorrect check in times, improper documentation, lost, stolen or damaged luggage. Any additional expenses caused by late or cancelled transportation carriers will be borne by the traveler. Cancellations made more than 60 days prior to departure will result in the loss of complete deposit. Cancellations made between 60 days and 30 days from departure date will result in loss of 50% of payment made. Cancellations made between 30 days and the departure date will result in the loss of complete payment made. The cost of insurance will vary depending upon what arrangements you want us to make for you. Please ask us for a quote.
Please indicate if you require any insurance coverage. ____ Yes ____ No
___ Non-medical Package Insurance ____ Travel within Canada Package Insurance*
*Available to Canadian residents only
Date(s) of birth are required for insurance coverage: __________________________________________
Insurance is an important issue. If you don't want coverage we require your signature below, otherwise your Travel Request Form will not be processed.
I DECLINE ALL INSURANCE COVERAGE: Signature ___________________________ Date_____________
**Please note: weather conditions play a major role in northern activities. Heartland International Travel & Tours will endeavor to provide the tour as advertised, although schedules and costs may be subject to change without notice. Delays or changes may at times be necessary. In the event of flight delays, changes in tour or cancellations, expenses will be borne by the traveler. Refunds will not be issued. For those traveling from outside of Canada we that suggest you check Customs Regulations regarding import restrictions prior to beginning your trip.
Heartland International Travel & Tours
Toll free: 1–866-890-3377 Phone: (204) 989-9630 Fax: 1-204–989-9636
Email: info@heartlandtravel.ca
Heartland International Travel & Tours
Suite 202 - 3111 Portage Avenue
Winnipeg, Manitoba, Canada R3K 0W4
Optional Insurance Package: Insurance coverage is strongly recommended. Please note that for some previous tours, passengers declined the purchase of insurance and subsequently had to cancel their travel plans due to unexpected accidents…nobody plans to have an accident. Air and hotel cancellation penalties took effect and considerable sums of money were lost. See what type of coverage is applicable to you and then make your decision accordingly.
1.) Travel within Canada Insurance:
Travel within Canada insurance covers you for emergency medical costs that you may incur while you are on your tour; it also covers for any cancellation penalties you may be required to pay in the event that you have booked and paid for everything, and then can't go due to an unexpected medical reason. The key word is “unexpected"... the insurance will not cover for existing medical situations/conditions, or if you simply change your mind and don't want to go. Coverage is available to Canadian residents only and the travel must be within Canada for the entire trip. In addition, the insurance will also cover you if someone in your immediate family becomes ill, due to unexpected medical reasons, and this prevents you from traveling. Terms and conditions are as per RBC's insurance policy. In the event of a claim, RBC Insurance will require a doctor's certificate to substantiate the claim.
Travel within Canada Insurance covers for the following:
*Trip cancellation & interruption (i.e. covers for air and/or hotel cancellation penalties that may apply)
*Subsistence allowance of up to $3500.00 at the destination if you cannot return as originally scheduled
*Unlimited hospital, medical coverage
*Air flight accident insurance up to $100,000
*Travel accident insurance up to $50,000
*Baggage & personal effects insurance up to $1000.00, and delay of baggage up to $400.00
2.) Non-Medical Travel Insurance:
This option is for those who already have extended medical coverage. You are insured for everything that the Travel within Canada insurance covers, as shown above, except for unlimited hospital, medical expenses.
The following insurance rates are based on the package cost from Winnipeg. For those with Winnipeg overnight hotels and/or airfares in and out of Winnipeg, higher rates will apply and can be requested. Policy exclusions apply as far as pre-existing medical circumstances are concerned. Terms and conditions are as per the policy issued by RBC Insurance.
Travel within Canada Package: Age
Coverage 1 to 4 days up to 59 60-64 65-69 70-74 75-79 80 +
Rates: $86 $99 $104 $117 $182 $242
Non-medical coverage, for those with their own medical insurance, is available as follows:
Non-Medical Package Age
Coverage 1 to 4 days up to 59 60-64 65-69 70-74 75-79 80 +
Rates: $83 $96 $100 $113 $176 $234
Premiums taxable at 8% when sold to Ontario residents. A portion of the premium is taxable when sold to Newfoundland and Labrador residents.
The above rates are based on the tour portion of the trip only and do not include any non-refundable air or hotel coverage. Contact us if you require these rates.