Vacation Package Booking Form

Dena Harris Travel
Vacation Package Request
The information below is required to book your vacation package. IMPORTANT!! Make sure all guests' names are EXACTLY- EXACTLY -EXACTLY as it appears or will appear on the passport. Incorrect names will delay the booking process or may result in unnecessary name change fees.
Group or Group Leader's Name (If Applicable)
What is your travel Destination?
What are your travel dates?
Lead Traveler Full Name (As Appearing on Passport / Driver's Liscense)

PrefixFirst NameMiddle NameLast Name
Birth Date*

MonthDayYear
E-mail
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
cell phone

Area CodePhone Number
Traveler 2- Legal Name, BIRTH DATE Address, Phone, Email
Traveler 3-- Legal Name, BIRTH DATE Address, Phone, Email
Traveler 4---Legal Name, BIRTH DATE, Address, Phone, Email
Please select your desired room type.

StandardSunset ViewOcean viewOcean FrontSuiteConcierge LevelNo preference- least expensiveSwim out / Plunge Pool SuiteUndecidedOther
Please select desired room request.

SmokingNon-Smoking
Please select desired bedding preference. FYI- Hotel will not guarantee .

King BedDouble Beds
Do you need flight included?

YesNo, I will purchase flight on my own at a later date.No, I will be using a different mode of transportation.
What Airport do you fly out of? Skip if flight is not needed!
Do you have a preferred airline? Check all that apply.

DeltaAmericanSouth WestJet BlueEmiratesNo preferanceFlight Not NeededOther
What is your preferred departure time?

Early Morning- (6:00 AM - 8:00 AM)Morning - (9:00 AM - 11:00 AM)Afternoon - 12:00 PM - 3:00 PMEvening - 4:00 PM - 7:00 PMNight - After 7:00 PMNo Preference- Cheapest FlightI Will Book My Own FlightOther
What is you airplane seat preference? Select all that apply!

Window Seat -----Solo TravelerIsle Seat----Solo TravelerWindow /Middle ----2 TravelersMiddle / Isle------2 TravelersFront of PlaneMidway of PlaneBack of PlaneFirst ClassNear RestroomI Will Book My Own Flight.Other
Would you like to include round trip transfers from airport to hotel in your package?

Yes, I would like transfers included in my packageNo, I will arrange transfer on my own at a later time
Payments made to Dena Harris Travel are non refundable and non transferable. Purchasing travel insurance will protect your investment from cancellation due to an unforseen emergency. The insurance has to be purchased within 5 days of initial deposit. Would you like a free no obligation insurance quote?

Yes, I would like an insurance quoteNo, I decline to add the coverageI will be adding it within the 5 day grace periodI'm undecided and still have questions.Yes, I would like to add insuranceOther
Is anyone in this room celebrating a special occasion, such as, birthday, anniversary, engagement, graduation? Please provide specific dates and details.

YesNo
Do You have a passport? Please check the expiration date to make sure it will not expire for at least 6 months after your departure date.

Yes, I have a valid passport that will NOT expire for at least 6 months after my departure date.No, I do not have a passport yetI am not traveling out of the country
Emergency Contact: Name and Cell
Please write questions or comments in the space provided.
Should be Empty:

Dena Harris Travel