The New Barleycorn Ireland Tour

OCTOBER 4 - 14, 2023

PASSENGER #1 First Name *

Middle Name

Last Name *

Date of Birth * +

Street Address *

Address Line 2

City *

State

Country

Zip Code/Postal Code

Phone Number *

Email Address *

PASSENGER #2 First Name

Middle Name

Last Name

Date of Birth +

ROOM TYPE *

Double (2 People, 1 bed) - $4,699.00 Per Person

Twin (2 People, 2 beds) - $4,699.00 Per Person

Single (1 Person) - $4,699.00 + $975.00 Single Supplement

If you chose "Twin" above, please provide us with the name of your roommate:

Would you like a pre-night stay on the night of October 3, 2023? We are holding a limited amount of rooms at Hyatt Centric Hotel Dublin ($110.00 pp sharing or $205.00 for a single; this rate includes full Irish breakfast). *

YES

NO

Would you like a quote on optional travel insurance? Please note that travel insurance must be paid for at the time of deposit to cover any pre-existing issues. *

YES

NO

Deposit *

Yes, sign me/us up for the tour! I understand that a non-refundable deposit of $500 per person is required to confirm a spot on the trip. Please use the credit card information that I have provided below for the non-refundable deposit.

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

Additional Comments: