Valerie Balderson, Travel Advisor
If you require assistance booking your flight please complete the below information and our Air Team will service you.
Hidden Field - Advisor Information
Client of Valerie Balderson, Toronto/ travel@lifetravelledwell.com
Client Information
Please provide your contact details so that our Air Team can get in touch with you.
Name
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First Name
Last Name
Email
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Phone Number
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Flight
Itinerary Type
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Round-Trip
One-Way
Multi-City / Stopover
Round-Trip
One-Way
From (City / Airport Code)
*
To (City / Airport Code)
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Depart Date
*
Depart Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Depart Cabin
*
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Economy
Premium Economy
Business
First
Return Date
*
Return Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Return Cabin
*
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Economy
Premium Economy
Business
First
Multi-City / Stopover
If requesting a stopover, please add details in the Comments section
How many flights?
*
Please Select
3
4
5
Flight 1: From (City / Airport Code)
*
Flight 1: To (City / Airport Code)
*
Flight 1: Depart Date
*
Depart Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Flight 1: Cabin
*
Please Select
Economy
Premium Economy
Business
First
Flight 2: From (City / Airport Code)
*
Flight 2: To (City / Airport Code)
*
Flight 2: Depart Date
*
Depart Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Flight 2: Cabin
*
Please Select
Economy
Premium Economy
Business
First
Flight 3: From (City / Airport Code)
*
Flight 3: To (City / Airport Code)
*
Flight 3: Depart Date
*
Depart Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Flight 3: Cabin
*
Please Select
Economy
Premium Economy
Business
First
Flight 4: From (City / Airport Code)
*
Flight 4: To (City / Airport Code)
*
Flight 4: Depart Date
*
Depart Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Flight 4: Cabin
*
Please Select
Economy
Premium Economy
Business
First
Flight 5: From (City / Airport Code)
*
Flight 5: To (City / Airport Code)
*
Flight 5: Depart Date
*
Depart Time (To enter a specific time range, click "Other".)
Morning
Afternoon
Evening
Other
Flight 5: Cabin
*
Please Select
Economy
Premium Economy
Business
First
Preferred Airline(s) or Alliance
Travelers
Adults
*
Please Select
1
2
3
4
5
6
7
8
9
Children (2 - 11)
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0
1
2
3
4
5
6
7
8
9
Infants (under 2)
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0
1
2
3
4
5
6
7
8
9
Lap Infants (under 2)
Please Select
0
1
2
3
4
5
6
7
8
9
Comments
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