Ta'Ja Travel Client Profile

Traveling with Additional Travelers?

1. If you are traveling as a couple, only one person needs to complete this form.

2. If you are traveling with someone else, please provide their information in the Traveler #2 section.

3. If you are traveling with more than two people, please continue by adding the remaining travelers in the Other Travelers section.

Please complete the information for each person traveling with you so we have the details needed to properly plan and coordinate your trip. Or you can direct them to www.bugsytravel.com to complete their own travel inquiry form on the site.

If Traveling alone? You may leave sections 2 & 3 blank.
Traveler #1

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
E-mail
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Traveler #2

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
E-mail
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Travelers
Type of Trip (Planning a group trip with 10 or more travelers? A separate Group Travel Inquiry Form will need to be completed).

Other
Destination
Ex: Jamaica
From which airport would you like to leave from?
Preferred Travel Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Travel End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are your travel dates flexible? If yes, enter date below:
Flexible Travel Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Flexible Travel End Dates

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Any additional questions? If none type N/A
How did you hear about us?
Your Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: