EmailMeForm
Booking Form
We are so close to booking your trip!
Next, we need to gather additional information from the travelers, collect payment for the deposit, and decide on travel insurance.
All travelers paying their own deposit must complete a form to secure a reservation for booking. (All roommates must book on the same day). If this is a group booking, you can book once you and your roommate are ready. You do not have to wait on the other group members to book.
To submit guest information, please complete this form. Please enter information exactly as it appears (or will appear) on your government issued travel ID documents. This form accepts up to five travelers, so if you have more guests, please submit an additional form.
For help with this form, please contact:
Susie at (626)202-2672
Emily at (909) 215-9777
Courtney at (307) 262-7171
Missy at (520) 395-6980
Chris at (559) 769-8171
Traveler 1
Traveler 1 Name
First
Last
Is your middle initial or middle name listed on your government issued ID? If so, please enter it here:
Date of Birth (MM/DD/YY)
Phone
*
###
-
###
-
####
Email Address
*
Confirm Email Address
Countdown Travels Agent you are working with:
*
Susie Flores
Emily Hanley
Courtney Griswold
Missy Helton
Chris Grajeda
Gender as specified on your Travel ID:
Male
Female
Prefer not to answer
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Traveler 1: Would you like to add another traveler?
*
No, I am all set on submitting guest information!
Yes, I have more travelers to add!
