MM/DD/YYYY Date of Birth incl year*
Number of rooms* - For Air Only Booking enter 0
Number of people in each room*
Your Contact Phone During Travel*
FOR OTHER PEOPLE ON YOUR BOOKING* Please provide the name prefix: Mr, Mrs, Ms, Miss, Master, first, middle. last name as listed on passport/photo id as required for travel and MM/DD/YYYY date of birth including the year, gender (male or female) in this box. If traveling as a single person, leave this box blank. If passenger is a child under age 2 traveling on the lap of an adult please indicate if traveling as a lap child or if purchasing a separate seat for a child.under age 2.
Celebrating a birthday, anniv., honeymoon during vacation, indicate date of event
If traveling with a group, please indicate which group are you travelilng with on this vacation? If not traveling with a group, enter traveling as an individual.
Requesting a handicapped room. A special needs form will need to be completed.
or, Ms, Miss, Master enter here
Requested Plane Seat Preference
Please provide First, Middle and Last name as listed on Valid Passport (if required for travel)/photo ID (driver's license)
If no middle name, please show No Middle Name in the Middle Name box
Requested Plane/Room Preferences are based on availabity and are not guarantted.
Air once purchased is non refundable. Change/cancellation penalities apply plus difference in air. Hotel Cancellation Penalties apply. No name changes.
A parent travel permission form for a minor (under the age of 18) signed and notarized by the parent not traveling is required to travel by air. Please review www.travel.state.gov for info on minors traveling to other countries and also visit the airline's website for their minor policy.
Guests who are pregnant at time of travel, please review the airline's website for cutoff weeks of pregnancy to fly and if a physician’s “Fit To Travel Note” is required.
After you complete & submit this vacation booking form, please copy and paste or click this link to complete the on line cr card form to authorize your payment https://form.jotform.com/60634596876168 The Creole Poet is an IATAN accredited travel agency. Denise Labrie US Mail Address 13165 W. Lake Houston Pkwy #422 Houston, TX 77044 Ofc 281.436.0405 Cell 713.560.3284 Fax 281-436-0406. Email firstname.lastname@example.org Website www.deniselabrie.com
Requested Room Preference
Requested Bedding Preference
Departure city/Destination city*
Airline Frequent Flyer Mileage Program Number
TSA Assigned Number (KTN) Known Traveler Number if you are signed up for pre-flight check with TSA
TSA Readdress Number if assigned to you to eliminate watch list misidentification and verify your identity
Emergency Contact Name not traveling with you*
Celebrating a birthday, anniversary or honeymoon during the vacation. Please check here.
Click this submit button to send this form to Denise Labrie at email@example.com to create your vacation booking.
Departure/Return dates of travel*
Include Vacation Protection on the booking. See travel quote or request rates from Denise. Enter Yes or No
Enter name of travel supplier (Funjet, United Vacations, American Airlines Vacations, etc)