Lolita Books Travel Booking Request Form

Travel Booking Request Form
Primary Contact Info*

First NameLast Name
Best Contact Number*

Area CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Verify Email
Total Number Of Adults*
Adults Names And DOB*
Total Number Of Children*
Children Names And Ages
Type of Travel

Flight OnlyHotel OnlyAll inclusiveCruise
Special Occassion (Birthday, Honeymoon, Destination Wedding, Music Festival, ...
Destination*
Preferred Hotel . Resort (Optional)
Adult Only Or Kid Friendly
Fight Departure And Arrival City
Number Of Rooms*
Size of Group
Standard King / Double /Suite /Penthouse
Discounts: Special Rates AAA, Military, Government, Senior Citizen
Transportation To And From Hotel
Cabin Type (If Applicable)

Inside CabinOutside Cabin
Porting From (Cruises)
Travel Dates
Date From*

MonthDayYear
Date
Date To*

MonthDayYear
Date
Vacation Budget (US Dollars)*
Preferred Cruise Line (If Applicable)
Have You Been On A Cruise Before?
If Yes, Which Cruise Line?
Is Anyone Traveling Over The Age Of 55?

YesNo
Does Anyone Traveling Have A Military Background?

YesNo
Special Instructions
Activities: Spa, Golf, Excursion, Activities, Event Ticket, Shows, etc
Include Travel Insurance*
Payment Selection
Enter the message as it's shown*
Research Fee*
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Booking Request Form$25.00
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