SJCA Spain 2025 - Registration

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How Many Travelers

First Traveler Information

First Traveler: Name*

First Middle Last

Please write your name as it is on your passport.

Preferred Name

First Traveler: Birthday*

First Traveler: Gender*

First Traveler: Phone*

First Traveler: Email*

First Traveler: Passport Number*

First Traveler: Passport Expiration*

First Traveler: Passport Upload

Max. file size: 100 MB.

Please upload a photo off your passport

First Traveler: TKN #

First Traveler: Global Entry Number

Second Traveler Information

Second Traveler: Name*

First Middle Last

Please write your name as it is on your passport.

Preferred Name

Second Traveler: Birthday*

Second Traveler: Gender*

Second Traveler: Phone*

Second Traveler: Email*

Second Traveler: Passport Number*

Second Traveler:Passport Expiration*

Second Traveler: Passport Upload

Max. file size: 100 MB.

Please upload a photo off your passport

Second Traveler: TKN #

Second Traveler: Global Entry Number

Third Traveler Information

Third Traveler: Name*

First Middle Last

Please write your name as it is on your passport.

Preferred Name

Third Traveler: Birthday*

Third Traveler: Gender*

Third Traveler: Phone*

Third Traveler: Email*

Third Traveler: Passport Number*

Third Traveler: Passport Expiration*

Third Traveler: Passport Upload

Max. file size: 100 MB.

Please upload a photo off your passport

Third Traveler: TKN #

Third Traveler: Global Entry Number

Trip Details

Room Preferences*

1 Bed

2 Beds

Handicap

Dietary Restrictions

How did you hear about this trip?*

Emergency Contact Info

Name*

First Last

Relation

Phone

Deposit Payment

Select your form of payment

For check and cash, please drop off your payment at LaMacchia Travel Agency. Your registration will only be finalized once your Travel Advisor, Stacy Frederick, has received the payment. Our Address: 3921 30th Ave, Suite B, Kenosha, WI 53144.

Will you be using one or two cards today?

Payment Method*

Card Number*

Expiration Month*

Expiration Year*

Cardholder Name*

First Middle Last

Additional Information*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Payment Method*

Card Number*

Expiration Month*

Expiration Year*

Payment Amount*

Cardholder Name*

First Middle Last

Additional Information*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Please indicate whether you are accepting or declining travel insurance.*

Accept Travel Insurance

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I agree to the terms & conditions of the Payment Authorization Form.

By completing this form, you are authorizing LaMacchia Travel and it's affiliates to process the card entered for the amount authorized on this form. The payment will be processed within 24-48 business hours. If you need immediate assistance, please call 262-656-8300.

SJCA Spain 2025 – Registration

First Traveler Information

Second Traveler Information

Third Traveler Information

Trip Details

Emergency Contact Info

Deposit Payment

Information

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