BOOKING FORM
LEGAL NAME AS PER PASSPORT - TRAVELER 1
First & Middle Name
Last Name
LEGAL NAME AS PER PASSPORT - TRAVELER 2
First & Middle Name
Last Name
LEGAL NAME AS PER PASSPORT - TRAVELER 3
First & Middle Name
Last Name
LEGAL NAME AS PER PASSPORT- TRAVELER 4
First & Middle Name
Last Name
LEGAL NAME AS PER PASSPORT - TRAVELER 5
First & Middle Name
Last Name
DATE OF BIRTH - TRAVELER 1
DATE OF BIRTH - TRAVELER 2
DATE OF BIRTH - TRAVELER 3
DATE OF BIRTH - TRAVELER 4
DATE OF BIRTH - TRAVELER 5
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Form of payment *PLEASE CALL SHELLEY ASAP WITH PAYMENT
Etransfer, credit card, cheque
Are you interested in Insurance?
I already have medical and cancellation insurance!
Please send me quotes to insure this vacation!
Send me the waiver, I do NOT want insurance- (mandatory legal waiver required)
Date
-
Month
-
Day
Year
Date
Group name (if applicable)
Bride/Groom name
Room category/ Occupancy details
Single? Double? Upgraded room category? Multiple rooms? How many nights? Tell me here!
Signature
Submit
Should be Empty: