Elán Travel - Traveler Information Form
Please complete one for each traveler. Information provided must match EXACTLY that on your official forms of identification and passport.
Name (as shown on passport or Real ID-compliant ID)
*
First and Middle Names
Last Name (Surname)
Suffix
Traveler’s Date of Birth
*
-
Month
-
Day
Year
Date
Traveler’s Place of Birth (city/state/country)
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Your Preferred Local Airport
Passport Place/Country of Issuance
Passport Date of Issuance
-
Month
-
Day
Year
Date
Passport Date of Expiration
-
Month
-
Day
Year
Date - Note that passport must be valid for at least six months from last date of expected international travel.
Known Traveler Number
Please attach a legible photo of your Passport ID page. Note that we require this information to ensure that we provide accurate information for airline and accommodation bookings. IMPORTANT: For overseas travel, many countries require at least six months of validity after your last day of scheduled travel.
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Airline Frequent Flyer Numbers (Name of airline and number)
Special Requests/Accommodations
Seat preferences, dietary restrictions, information regarding physical disabilities, etc.
Credit Card Information
We only gather credit card information through PCI compliant channels. By providing this information you agree to the use of this card to charge fees and services. Please phone in with your credit card information (630.561.1095), or contact us at mike@elantravel.net to obtain a link to submit that information through an encrypted link.
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