Anthony Travel Inc. | Resources | Notre Dame and Saint Mary's

To join the Student Travel Club and take advantage of its benefits, please fill in the following form. (Your information will be entered once the "Submit" button is selected.)

Full Name
(as it appears on your government issued photo I.D.)

Birthdate / /

Home Address:

Address 1:

Address 2:

City: State: Zip:

School Address:

Address 1:

Address 2:

City: State: Zip:

Email Address (required):

Parents Email Address (required):

Parents Phone:

School Phone:

Graduation Year:
(from Notre Dame)

How did you hear about the Student Travel Club?

If you heard from a friend, who was it?

If you are a member of a Frequent Flyer program, fill in the information below.

Please note:

If you are a member of more than one frequent flyer program, additional spaces will appear once you select "ADD"
Clicking "ADD" does NOT submit your application


Name as it appears on card:
Airline:
Number:

Comments:

Name (as it appears on credit card):

Credit Card No.:

Expiration Date:

Is this the same credit card you would like to be billed for airline tickets and additional Anthony Travel Purchase? yes no

By submitting this form, I authorize Anthony Travel Inc., to charge my credit card in the amount of $350. I understand that this entitles me to the benefits outlined on my invoice and ID Card for as long as I am an undergraduate student at the University of Notre Dame. This payment is totally non-refundable.