Country Heritage Tours - Quilt Tour Specialists: Reservation Form

Submit Payment for Remaining Balance

The balance is due 60 days prior to the tour date, to pay the remaining balance please fill out and submit the form below. The name and billing address provided must match the credit card that is used to pay the remaining balance due for your tour. Please be sure that you have read and understand our cancellation policy and responsibilities policy.
Billing Address
Name
Address
City
State/ Providence		Zip Code
Country
Email
Phone
Credit Card Information
Amount Paid:
Credit Card Type
Account #
Exp. Date	Month: / Year