RESERVATION FORM Once completed, please Fax to: Benefactor Travel by Hamilton Fitzjames @ 905.842.2196 or e-mail: [email protected] or mail to: Benefactor Travel, Suite 1158, 1011 Upper Middle Rd E., Oakville, ON Canada L6H 5Z9 Name (s) Address City State ZIP E-mail Phone Fax (day) (evening) TRIP COST $6,400 per person based on double occupancy $1,110 single supplement If applicable, I plan on sharing a room with If applicable, we prefer a room with: 1 bed 2 beds DEPOSIT & PAYMENTS A deposit of $2,500 per person is required to confirm your place on the trip. The deposit is completely refundable up until April 1, 2016 minus a 3.5% administrative bank fee. Balance of payment is due by 90 days prior to departure, July 1, 2016. All payments may be made by American Express, VISA, Master Card or check. Please make all checks payable to Benefactor Travel. Card # Expiration Date I hereby authorize Benefactor Travel to deduct amounts due as outlined above. Signature Amount $ (as name appears on the card) CANCELLATION & REFUND If you must cancel your reservation, your cancellation fee will be determined as follows: Date of Cancellation Cancellation Fee Prior to April 1, 2016 Fully refundable minus a 3.5% administrative bank fee April 2–July 1, 2016 Deposit is forfeited July 2 to departure date 100% of tour package cost Exceptions to this cancellation policy cannot be made for any reason, including weather or personal emergencies. TRAVEL INSURANCE We strongly recommended you purchase Trip Cancellation Insurance to cover unforeseen circumstances requiring cancellation of your travel. Travel Guard Insurance is recommended by Benefactor Travel. For insurance details please visit their website—travelguard.com or call Benefactor Travel at 1.800.801.6147. Please send me information on acquiring trip insurance with my confirmation letter. I choose to decline travel insurance. I have read and agree to the above Cancellation and Refund Terms and Conditions. Please check: This is a working itinerary and modifications may occur depending upon the ultimate availability of our hosts or certain events. The itinerary is subject to change. For the full itinerary, meals, accommodations please consult the trip website at: trip-program.com/nelsonatkins or call Dale at Benefactor Travel at 1.800.801.6147. This trip is based on 20 participants. We reserve the right to cancel the program due to insufficient participants. In the unlikely event that the tour is canceled, participants will be informed no later than July 1, 2016 and any trip payments will be refunded in full. We are not responsible for any collateral costs, including airfare or other personal expenses, incurred by travelers due to trip cancellation. MEXICO CITY, October 4–9, 2016

Reservation form Mexico City Oct 2016

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Travel with Julián Zugazagoitia, Menefee D. and Mary Louise Blackwell Director & CEO of The Nelson-Atkins Museum of Art to his home town of Mexico City, October 4–9, 2016. Open to all Society of Fellows and Business Council members. Space is extremely limited. Use this form to sign up today!

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RESERVATION FORM

Once completed, please Fax to: Benefactor Travel by Hamilton Fitzjames @ 905.842.2196 or e-mail: [email protected] or mail to: Benefactor Travel, Suite 1158, 1011 Upper Middle Rd E., Oakville, ON Canada L6H 5Z9

Name (s)

Address City State ZIP

E-mail

Phone Fax (day) (evening)

TRIP COST$6,400 per person based on double occupancy$1,110 single supplement

If applicable, I plan on sharing a room with

If applicable, we prefer a room with: 1 bed 2 beds

DEPOSIT & PAYMENTSA deposit of $2,500 per person is required to confirm your place on the trip. The deposit is completely refundable up until April 1, 2016 minus a 3.5% administrative bank fee. Balance of payment is due by 90 days prior to departure, July 1, 2016. All payments may be made by American Express, VISA, Master Card or check. Please make all checks payable to Benefactor Travel.

Card # Expiration DateI hereby authorize Benefactor Travel to deduct amounts due as outlined above.

Signature Amount $ (as name appears on the card)

CANCELLATION & REFUNDIf you must cancel your reservation, your cancellation fee will be determined as follows:

Date of Cancellation Cancellation Fee

Prior to April 1, 2016 Fully refundable minus a 3.5% administrative bank fee

April 2–July 1, 2016 Deposit is forfeited

July 2 to departure date 100% of tour package cost

Exceptions to this cancellation policy cannot be made for any reason, including weather or personal emergencies.

TRAVEL INSURANCEWe strongly recommended you purchase Trip Cancellation Insurance to cover unforeseen circumstances requiring cancellation of your travel. Travel Guard Insurance is recommended by Benefactor Travel. For insurance details please visit their website—travelguard.com or call Benefactor Travel at 1.800.801.6147.

Please send me information on acquiring trip insurance with my confirmation letter.

I choose to decline travel insurance.

I have read and agree to the above Cancellation and Refund Terms and Conditions. Please check:

This is a working itinerary and modifications may occur depending upon the ultimate availability of our hosts or certain events. The itinerary is subject to change. For the full itinerary, meals, accommodations please consult the trip website at: trip-program.com/nelsonatkins or call Dale at Benefactor Travel at 1.800.801.6147.

This trip is based on 20 participants. We reserve the right to cancel the program due to insufficient participants. In the unlikely event that the tour is canceled, participants will be informed no later than July 1, 2016 and any trip payments will be refunded in full. We are not responsible for any collateral costs, including airfare or other personal expenses, incurred by travelers due to trip cancellation.

MEXICO CITY, October 4–9, 2016

http://travelguard.com

http://trip-program.com/nelsonatkins