EmailMe Form - Group Leader Contract

Group Leader

Email

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Name of Group

Depart Date

MM / DD / YYYY

Return Date

MM / DD / YYYY

Type of Travel

Number of Rooms/Seats on Contract

I have recieved the group terms & conditions and agree to them on behalf of myself and all members of my group.
Print Name

Signature

Clear

Date

MM / DD / YYYY

*

I (We) consent to Simply Travel, LLC collecting all personal information provided on this form. Including but not limited to name, address, phone number, and email.

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