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Amish
Traveler's Information Form
First Name
Last Name
What do you prefer to be called?
Home Phone
Cell Phone
Birthday
Email
Street Address
City
State
Zip code
In Case of Emergency- Name & Relationship
Street Address
City
State
Zip code
Home Phone
Cell Phone
Your Physician's Name & Phone Number:
Are you celebrating anything on this tour? If yes, what are you celebrating?
Is this your first tour with Timeless Adventures?
Choose an option
Optional Add Ons (Pick up to 2)
Sauteed Onions
Mushrooms
Bell Peppers
Meal Choice (Pick 1)
Country Fried Steak w/ white gravy
Hamburger Steak w/ brown gravy
Grilled Chicken Breast
Sides (Pick up to 3)
Garlic Mashed Potatoes
Glazed Carrots
Country Style Green Beans
Mac & Cheese
Power Slaw
French Fries
Sweet Potatoe Fries
Loaded Mashed Potatoes
Cream Corn
Submit
Looking forward to traveling with you!
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