Travel Reservation Form

Please ensure you at least fill out the E-mail section in this first part so we can reply to you with your request.
This information will be kept confidential and not be handed out to a third party.

Mr. Miss. Mrs Ms.

Last Name

First Name

E-Mail Address

Business Name

Street Address

City

Province/State

Country

Postal/Zip Code

Telephone

Fax



Travel/Tour Arrangements

Vacation Package You want to book:



Purpose of Trip/Budget

Indicate the purpose of your trip:
Business
Pleasure


Total budget of your trip

Select currency



Amount


Destination/Departure/Accommodation/Tour Operator

Where do you want to go?

Which city are you departing from?
Accommodation or tour operator


Dates
Date of Arrival(mm/dd/yy)
Date of Departure(mm/dd/yy)

Services Required

Accommodations
Airline
Airport/Hotel Transfers
Car/Bus Rental
Cruise Name/Destination
Escorted Tour
Entertainment/Admission Tickets
Please indicate below any other services you may require.


Rooms
Number of Rooms Required

Room Preferences

Bed Preference:
One Bed (ie. Queen/King)
Two Beds (ie. Twin/Double)
Wheelchair Accessible

Additional Preferences:
Non-Smoking Room
Smoking Room

Number of Guests

Are you travelling with children?
Yes
No

Number of Children
Ages of Children

Number of Adults


Group Bookings

Yes
No

If you are booking for a group:
Name of Group


Select Form of Payment


Credit Card No.:

Card Holder Name:

Expiry Date:

Amount of Payment Authorized:


Additional Comments

Please enter any additional comments or suggestions below:


Information Reply

Please confirm this enquiry by:
E-Mail
Telephone
Fax

Submit Reservation/Request:

Please make sure that you have completed all of the information above so that suitable arrangments at the correct rates can be confirmed. Thank-you for taking the time to complete this enquiry form in detail.





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