Travel Reservation Form
Please read and fill out the reservation form. If you have any questions, please contact Newwest Travel | Phone: 1 (800) 661-7281 | Email: michelle@newwesttravel.com
Please select your departure city
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Please Select
Calgary
Edmonton
Vancouver
Victoria
Toronto
Passenger Details
Traveler Information as appears on passport or government I.D.
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Please upload the photo side of your passport or government I.D.
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Browse Files
Drag and drop files here
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Contact Email
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example@example.com
Contact Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Details
Emergency Contact Name
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Emergency Contact Email
*
example@example.com
Emergency Contact Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Dietary, Medical & Travel Requests
Dietary Requests (We will pass the information along to the suppliers. In some instances, your information may be required to be advised onsite so your server can suggest items that would be best for you)
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Food Allergies
Dietary Restrictions (vegetarian, vegan etc.)
None
Other
Please indicate your exact food allergy or dietary restriction and passenger name
Medical Requirements
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Bringing Medical Device
None
Please specify type - example: walker, CPAP, insulin/needles etc. and passenger name
Airport / Wheelchair Assistance
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Distance within the airport only
Require assistance to your airplane seat
None
Travel Insurance
Newwest Travel highly recommends you protect yourself and your travel investment with travel insurance. Please select from the following travel insurance options below and one of our travel advisors will follow up with you after the registration form has been submitted. Alternately, you can get a free quote online and book your insurance by using the following image link below.
Please check all that apply
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Trip Cancellation, Trip Interruption and Trip Delay
Emergency Medical
Baggage Loss, Damage & Delay, Flight & Travel Accident
No, I Decline to Purchase All Travel Insurance Coverage
Travel Requests
Room & Bedding Requests (please note these are requests and cannot be guaranteed)
King Bed
Two Queen Beds
Ground Floor
Higher Floor
Airline Seat Upgrades
Yes, please send me more information about airline seat upgrades
No, I am not interested
Notes:
Signature
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