Antigua Registration Form

Completion of this registration form is REQUIRED to book your trip to Antigua. A couple of key notes:

Registration must include a minimum $200 deposit. All registrations without deposit or payment in full are deleted within 24 hours.
All deposits and payments are NON-REFUNDABLE.
It is strongly advised that you purchase trip insurance to protect your deposits/payments.
Your trip is not confirmed until your room is fully paid, inclusive of any and all roommate's balances.
AIRFARE is NOT included.
We advise that you CREATE YOUR ACCOUNT with us - this will make it easy to track your payments and receive communication.

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Birthday

Month

Day

Year

Roommate #1 Name

Roommate #2 Name

Emergency Contact Name

Emergency Contact Cellphone

How Did You Hear About The Trip?

PROMO CODE

If you have a promo code, enter it here.

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