Reservations NOVA SCOTIA - DAY TRIPS & TRAVEL FOR ADULTS 55+

Mayflower's Nova Scotia and Canada's Maritimes with Ageless Adventures
August 13 - 21, 2027
Online Registration Form

Registrant 1

First, Middle, Last name *

EXACTLY as match passport. Copy/photo of passport is also required in days following registration.

Suffix (Jr., Sr.)

Nickname

Address *

Cell Phone (or note if Home) *

If you will have a cell phone with you on the trip, please list that number. You may also be contacted by phone prior to trip.

Email *

Be sure to check your SPAM folder occasionally to make sure emails from Ageless Adventures or Mayflower are not sent there!

A valid passport is required for this trip!

Passport #, or indicate if updating *

Passport Date of Issue AND Date of Expiration *

Passport issued in which City, State, & Country?

Citizenship *

Date of Birth *

Write out the month Example: May 5, 1943

Place of Birth *

Gender *

Emergency Name, Number, Relationship *

Credit card $200 deposit charge per person to MAYFLOWER CRUISES. Master Card, Visa, or Discover only. No AMEX. Or mail check to Ageless Adventures!

Name on Card

Card Type (MC, Visa, or Disc) & Number

Expiration & Security Code

Indicate how you are registering *

Two people paying together.

Two people paying separately... 2nd person needs to fill out their own form

Solo

Guaranteed Share - You desire a roommate - Mayflower will try to pair you. If suitable same gender person does not seek same, you will have a room to yourself at double price.

Room type *

One Bed

Two Beds

Registrant 2
[Two people paying separately should submit two forms, indicating name only of roommate here.]

Registrant 2 - First, Middle, Last Name

EXACTLY as match passport. Copy/photo of passport is also required in days following registration.

Suffix (Jr., Sr.)

Nickname

Address, if different from Registrant #1

Cell Phone, if different from Registrant #1

Email, if different from Registrant #1

A valid passport is required for this trip!

Passport #, or indicate if updating

Passport Date of Issue AND Date of Expiration

Passport issued in which City, State, and Country?

Citizenship

Date of Birth

Write out the month Example: May 5, 1943

Place of Birth

Gender

Emergency Name, Number, Relationship, if different from Registrant #1

TRAVEL PROTECTION:

Insurance per person: *

I/We'd like Kent to call me before I make decision.

Not at this time. I/We understand the risks associated in having no coverage &/or I may consider adding this later.

A deposit of $200 per person will be charged once your confirmation is submitted to Mayflower. This deposit is non-refundable unless covered by a qualifying reason under Travel Insurance/Protection, which is highly recommended. Final payment is due May 13, 2027.

All * fields must be completed for the form to submit. You will see a confirmation message once completed; however, your card will not be charged until Ageless Adventures submits your information to Mayflower. Jacque or Shanda will be in touch with you in the coming days.