Vacation Booking Form - every entry must be completed to be able to submit the form. If not sure, enter N/A. Form works best on a desktop or laptop, allow pop ups and using google chrome.
MM/DD/YYYY Date of Birth incl year*
# of rooms* If Air Only enter 0
Number of people in each room*
Your Contact Phone During Travel*
PLEASE LIST THE NAMES AND DATE OF BIRTH FOR THE 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) . 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 enter date
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 is req’d.
or, Ms, Miss, Master enter here
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. Passport required for international travel, Visit www.travel.state.gov for the latest info on passports and travel
DRIVERS LICENSE for travel within the USA ONLY: Drivers Licenses from 9 states won’t be valid for domestic flights starting in 2018. Residents of Kentucky, Maine, Minnesota, Missouri, Montana, Oklahoma, Pennsylvania, South Carolina, and Washington will need to use alternative forms of ID starting in 2018 such as military ID, permanent resident card, or passport.
Requested Plane/Room Preferences are based on availability and are not guaranteed.
Air once purchased is non refundable. Change/cancellation penalties 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.
IMPT: DOMESTIC USA Travel - REAL ID driver’s licenses have a star in the upper right hand corner. Extended to October 1, 2021, travelers who present a driver's license that is not REAL ID compliant WILL NOT be permitted to fly. They'll have to bring another form of acceptable ID to the airport instead or be turned away. The list of acceptable IDs includes a passport; a military ID; a border ID card; a trusted traveler card, such as Global Entry; a permanent resident card; and other documents.
Return to USA. This is a new requirement for all international passengers coming into the USA
After you complete & submit this vacation booking form, a secure doc will be emailed to you via esigngenie to use to provide your cr card info and payment authorization.
If unable to submit form online, please take a cell photo or scan (on iPhone select notes, camera and scan) completed booking form and text or email to Denise at 713.560.3284 or firstname.lastname@example.org
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 birthday, anniversary or honeymoon during vacation, pls check
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, etc), and Name of the Resort/Hotel