JADAR Exclusive Vacation Booking Request Form

Your Name* This field is required.Name must correspond to that in your travel document (Passport, etc.) or government issued ID

First Name

Last Name

Your Date of birthFor international travel your date of birth must match your passport. Vacation destinations may use this information to find promotions you are eligible for

Date

Your E-mail* This field is required.Important updates will be communicated through email. Please use an active address

Mobile Phone* This field is required.We will use this number to contact you via voice and/or text/SMS (Whatsapp if not a US number) to share information relevant to your vacation (data charges may apply)

Area Code

Phone Number

Best Time to CallWhat time of the day is best to call you to confirm your booking?

Hour

Minutes

Select Vacation* This field is required.Click on the drop-down list and make a selection. Select option 2 if you already approved the trip proposal or select "OTHER" if you are requesting a quote on a vacation package or promotion not listed.

List option below or Tell us about the email promotion or advertisement you receivedEnter anything from the email that will help us identify the promotion you are interested in

Tell us about the vacation you are interested inIf you already approved a trip proposal mention anything about it here. If there were multiple options in the proposal, list the here option you chose. The more you share, the better we are able to help you find your perfect vacation solution.

Package Type

Flight + Hotel

Flight + Hotel + Ground Transfer

Hotel Only

Flight + Hotel + Rental Car

Hotel + Rental Car

Ocean Cruise

River Cruise

Other

Hotel Room Choices* This field is required.Please select a room category of choice. Rooms are generally configured with double bed or King bed. You may choose configuration next. NOTE: Not all resorts may have the category listed; If you select a category not available at your choice resort, we will point you to the closest match available. This is a general category description - actual room category description/name will vary based on resort. Rooms are selling fast, so if your choice is not available at time of booking we will discuss alternatives with you when we get on the phone together.

Basic/Entry level (most economical category)

Resort/Garden View

Ocean View

Ocean Front

Swim-up Room

Plunge Pool Room

Suite (ocean or resort view)

Concierge/Butler Suite (or similar)

Upper tier/Luxury Suite (incl. Over-the-water bungalow)

Other

Room Configuration* This field is required.Rooms come with 2 double beds or one king size bed. Please select below.

Double

King

May we send you Text/SMS messages?Note: Some data rates may apply, depending on your service plan with your cell phone carrier

YESNO

Hotel or Resort ChoiceMake a selection below.

Select Hotel

Enter hotel name here (refer to information page)

Hotel check in date

Check out date

Flight Choice

Origin Airport/City/State

Destination Airport/City/Country

Departure Date

Return Date

Number of PassengersEnter the number of persons (including you) in this booking

Passenger 2 Name* This field is required.

First Name

Last Name

Passenger 2 Date of Birth* This field is required.

Date

Passenger 3 Name* This field is required.

First Name

Last Name

Passenger 3 Date of Birth* This field is required.

Date

Passenger 4 Name* This field is required.

First Name

Last Name

Passenger 4 Date of Birth* This field is required.

Date

Vacation Protection Insurance* This field is required.We STRONGLY recommend this option! Do you wish to protect your vacation with a Vacation Protection insurance? Contact us for more details, including coverage limits and price. (NOTE: Vacation insurance must be purchased and paid for at time of booking)

YES, sign me up for VPP (highly recommended)

NO, I decline protection

I'm not sure - let's talk about it

No thanks - I already have travel insurance or will purchase insurance elsewhere.

Budget for this tripWhat's the maximum per person are you prepared to pay for this trip?

$1,000 - $1,500

$1,500 - $2,000

$2,000 - 2,500

$2,500 - $3,000

Over $3,000

Payment OptionAt JADAR Travel, we make it super easy for you to afford and pay for your vacation. Please select a payment option you are interested in and we will discuss it with you.

Pay full amount at booking (required if trip is within 60 days)

12 Month Payment Plan through UpLift (easy financing)

JADAR Easy Pay Monthly Payment (FREE service - best if trip is 12 months or more away)

I will pay the deposit now and the balance by deadline date (I accept responsibility to make payment)

AddressEnter your billing address here

Street Address

Street Address Line 2

City

State

Zip Code

Country

Coupon Code or JVIP NumberIf you have a coupon code or JADAR VIP Member number, enter here

T Shirt size

XXL

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

Area Code

Phone Number

Passport picture pageUpload a picture or scanned copy of your passport's picture page (a clear picture with your smart phone is good enough). NOTE: This is required if you are purchasing international Air travel.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

CommentsEnter any other information you wish for us to consider.

Today's Date

Date

By signing below, I am representing that I am booking the selected vacation package or requesting a quote. I will pay the required fee. I am aware that price and availability is not guaranteed until booked and paid for, and that actual price at booking may differ from quote price or estimate reflected in this form. I further represent that if my booking is cancelled due to lack of timely payment of the required amount, or if I fail to show for my vacation for any reason, I will hold Locksley and JADAR Travel harmless for any damages* This field is required.Type your full name as your signature

First Name

Last Name

Please verify that you are human* This field is required.

JADAR Exclusive Vacation Booking Request Form